Recycle Event Voucher Request

2. Reminders
   Only Bothell residents living within City limits will be mailed vouchers. You can request two vouchers per year, while supplies last. The vouchers are only good for the Shoreline Recycling & Transfer Station. Only one voucher per trip can be used. Lost or stolen vouchers will not be replaced.
4. Items to recycle*

   Check the items you will be taking to recycle:

   1. Large Appliance(s)
   2. Scrap Metal
   3. Clean Wood
   4. Fluorescent Light Bulbs/Tubes

   1. Medical Sharps
   2. Bike(s) and Bike Part(s)
   3. Textiles
   4. Shoes
5. How many vouchers are you requesting?*

   1. 1
   2. 2

   Please note: Bothell residents can request up to two vouchers per year.
7. Name*
8. Email Address
10. Address*
12. City*
13. State
14. Zip Code*
16. Phone Number
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field