2016
Medications Disposal Collection Days
PRE-REGISTRATION FORM
Please print and complete the
form below.
Once complete, please email, mail, fax or call to setup your appointment.
Dutchess County Resource Recovery Agency
96 Sand Dock Road
Poughkeepsie, NY 12601
Phone: 845-463-6020
Fax: 845-462-6090
Email:
dwalsh@dcrra.org
Event dates for 2016: To Be Determined, please check
back. |
Note: Our hours of operation for this event are
from 8am to 10am. Please make every effort to be prompt so we can
maintain our schedule. If you make an appointment that you are unable to
keep, please call our office and let us know that you
will not be attending.
This will
give other residents an opportunity to attend.
|
|
DATE |
___________________________ |
NAME |
___________________________________________________ |
ADDRESS |
___________________________________________________ |
|
___________________________________________________ |
|
PHONE No. |
___________________________ |
EMAIL |
___________________________ |
DATE OF EVENT |
___________________________ |
|
REQUESTED APPOINTMENT TIME (Please Circle)
|
|
8AM-8:30AM |
8:30AM-9AM |
9AM-9:30AM |
9:30AM-10AM |
|
|
|