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2. Property Owner / Property Manager Form
4. Recycling Services (check all that apply):*

   1. Middletown Township Curbside Recycling Collection
   2. Middletown Recycling Center Drop-off

   1. Private Hauling Contractor
6. If you checked "Private Hauling Contractor", you need to upload your completed Annual Recycling Report Form.

   The Annual Recycling Report Form can be found on www.middletownnj.org/recyclingreport. Download the fillable PDF, complete it electronically, and please upload it to this form.

8. Property Owner / Manager Name*
9. Tenant*
11. Title*
13. Business / Institution Name *
15. Property Address*
17. E-mail Address*
18. Fax Number
20. Telephone Number*
21. Cell Phone Number*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field