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Tempe Grease Cooperative Enrollment Form

Please correct the field(s) marked in red below:

greasecoop 

For questions regarding enrollment or the TGC program, please call: (480) 350-2847, or email grease@tempe.gov

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Contact Information:
 *
Contact Information:

Billing Contact Information:
Not required if the same as above.

Billing Contact Information: Not required if the same as above.
Choose preferred billing method:
 *
Choose preferred billing method:
Choose preferred payment method:
 *
Choose preferred payment method:

Tempe will work to best accommodate your preferred day/time for service. Please indicate a preferred day for cleaning below. *

Tempe will work to best accommodate your preferred day/time for service. Please indicate a preferred day for cleaning below. *

Please indicate a 2nd preference for cleaning day below, in the event the day selected above is unavailable.

Please indicate a 2nd preference for cleaning day below, in the event the day selected above is unavailable.
Please indicate the time your prefer
Please indicate the time your prefer

Please indicate a 2nd preference for cleaning time, in the event the time selected above is unavailable.

Please indicate a 2nd preference for cleaning time, in the event the time selected above is unavailable.

Please enter the date of last cleaning if you own an interceptor that was cleaned within the last 90 days, or a trap that was cleaned within the last 30 days.  If left blank, service will be scheduled upon enrollment based on your scheduling preferences.

Size of Trap/Interceptor
 *
Trap Interceptor Unknown
Size
Location of Trap/Interceptor
 *
Inside Outside
Location
Are you interested in having your yellow grease (used fryer/cooking oil) picked up?
If yes, what size receptacle and how often do you need it picked up?
Are you interested in line jetting?
If referred by an existing cooperative member, please provide their information:
Comments and/or Requests
  1. To receive a copy of your submission, please fill out your email address below and submit.