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HPC Comments, Questions, & Requests Form

2. HPC COMMENTS, QUESTIONS AND/OR REQUEST FORM
   Please fill out the following form if you have any comments, questions, requests, or concerns towards a specific program or general function at the HPC.
6. HPC PROGRAMS
8. Which Program?*
   -- Select One --Residential Household Hazardous Waste ProgramSmall Business Waste ProgramDrop & Swap Reuse ProgramHome Collection ProgramEducation & Outreach ProgramHPC General Operations
10. Comments, Suggestions and/or Recommendations
12. Questions and/or Requests
14. Concerns
16. Would you like to be contacted?*

    1. Yes
    2. No

    If "Yes," please fill out the Contact Information below.
18. First Name
19. Last Name
21. Phone Number
22. Email Address
24. Preferred method of contact?

    1. Phone
    2. Email
28. Thank you for taking the time to complete this online form. Your submitted form will be reviewed shortly by HPC staff. You may be contacted if further information is necessary or you require a reply.
30. HPC staff are committed to providing high quality customer service to residents and businesses. Receiving feedback from our customers can improve our service to you. We appreciate your time. Thank you. NOTE: After clicking "Submit," you will be taken back to the HPC's Home Page.
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32. Submit

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