Tempe Grease Cooperative Enrollment Form

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

greasecoop 

Tempe Grease Cooperative
c/o Environmental Services
P.O. Box 5002
Tempe, AZ 85280
480-350-2678
www.tempe.gov/grease

Contact Information:

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

Choose preferred billing method:

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 the time your prefer

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
If referred by an existing cooperative member, please provide their information:
Comments and/or Requests
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