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