Electronic Equipment Reclamation Project - Commercial Form

  • strict warning: Non-static method view::load() should not be called statically in /home/itbajo7ed0oo/public_html/sites/all/modules/views/views.module on line 906.
  • strict warning: Declaration of calendar_plugin_display_page::options_submit() should be compatible with views_plugin_display_page::options_submit(&$form, &$form_state) in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/includes/calendar_plugin_display_page.inc on line 0.
  • strict warning: Declaration of calendar_plugin_display_page::options() should be compatible with views_object::options() in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/includes/calendar_plugin_display_page.inc on line 0.
  • strict warning: Declaration of calendar_plugin_display_block::options() should be compatible with views_object::options() in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/includes/calendar_plugin_display_block.inc on line 0.
  • strict warning: Declaration of calendar_plugin_display_attachment::options_submit() should be compatible with views_plugin_display_attachment::options_submit(&$form, &$form_state) in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/includes/calendar_plugin_display_attachment.inc on line 0.
  • strict warning: Declaration of calendar_plugin_display_attachment::options() should be compatible with views_object::options() in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/includes/calendar_plugin_display_attachment.inc on line 0.
  • strict warning: Declaration of calendar_plugin_display_ical::options_submit() should be compatible with views_plugin_display_page::options_submit(&$form, &$form_state) in /home/itbajo7ed0oo/public_html/modules/acquia/calendar/calendar_ical/calendar_plugin_display_ical.inc on line 0.
  • strict warning: Declaration of views_handler_filter::options_validate() should be compatible with views_handler::options_validate($form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/views/handlers/views_handler_filter.inc on line 0.
  • strict warning: Declaration of views_handler_filter::options_submit() should be compatible with views_handler::options_submit($form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/views/handlers/views_handler_filter.inc on line 0.
  • strict warning: Declaration of views_handler_filter_boolean_operator::value_validate() should be compatible with views_handler_filter::value_validate($form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/views/handlers/views_handler_filter_boolean_operator.inc on line 0.
  • strict warning: Declaration of date_api_filter_handler::value_validate() should be compatible with views_handler_filter::value_validate($form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/date/includes/date_api_filter_handler.inc on line 0.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Only variables should be passed by reference in /home/itbajo7ed0oo/public_html/sites/all/modules/date/date_api.module on line 866.
  • strict warning: Declaration of views_plugin_row::options_validate() should be compatible with views_plugin::options_validate(&$form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/views/plugins/views_plugin_row.inc on line 0.
  • strict warning: Declaration of views_plugin_row::options_submit() should be compatible with views_plugin::options_submit(&$form, &$form_state) in /home/itbajo7ed0oo/public_html/sites/all/modules/views/plugins/views_plugin_row.inc on line 0.
  • strict warning: Non-static method view::load() should not be called statically in /home/itbajo7ed0oo/public_html/sites/all/modules/views/views.module on line 906.

Electronic Equipment Reclamation Project – Commercial Form
 
Retail Store Name_____________________________________________________________________________
 
Retail Store Address___________________________________________________________________________
     ;     ;     ;     ;          
     ;     ;     ;     ;     ;     ;   ___________________________________________________________________________
 
Store Proprietor/Owner_________________________________________________________________________
 
Contact Telephones___________________________________________________________________________
 
Contact Email________________________________________________________________________________
 
Best Time to Contact__________________________________________________________________________
 
Willing to donate:    ; Time___    ; Equipment___   (Check one or both)
 
Squeeky Clean Member Information
 
Member Name_______________________________________________________________________________
 
Member User ID______________________________________________________________________________
 
Member Email________________________________________________________________________________
 
Member Telephone____________________________________________________________________________
 
Return to:  www.squeekyclean.org, Squeeky Clean, LLC, P.O. Box 32, Hesperus, CO  81326