Request Form

Name*

First Last

What is your Title?*

What organization do you represent?*

What is your AS Account Number?*

If you are not affiliated with Associated Students, put N/A

What email can we reach you at?*

What is the name of your advisor?*

What email can we reach your advisor at?*

Name of the best person to contact on the day of the event:*

Phone number of the best person to contact on the day of the event:*

Name and billing address of the group to be billed:*

What event are you requesting waste service for?*

Where is the event located?*

What is the date of the event?*

What time do you need the bins set up by?*

HH :

MM

What time do you need the bins taken down at?*

HH :

MM

Number of people attending the event?*

Which bins do you need at your event? Select all that apply.*

Recycle
Compost
Landfill

If you know how many of each bin you need, please specify below.

Do you want water provided at your event?*

Yes
No

How many 5 gallon jugs do you want?

1 jug is adequate for about 200 people. Unused jugs cannot be refunded

Is there food being served?*

Including beverages

Yes
No

What food services will be present?*

Do you have compostable ware for your event?*

If you haven't ordered compostable ware yet, go to https://zerowaste.as.ucsb.edu/shop/

Yes
No

Do you want ASR to pick up your compostable products for you?*

If you order compostable ware from ZWC, we will deliver it to your event and include your order on the quote. You will not have to fill out a separate requisition form for ZWC.

Yes
No

Do you want someone to change out the bags halfway through the event?*

Yes
No

What is the general flow of the event*

What type of give away products will be handed out, will there be a lot of paper products, etc.

Please include a map of the setup area if possible

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