2. Recycling Registration
   Complete and submit this form to register for the curbside recycling program.
3. 
5. For more recycling details, click:
   Recycling Info
7. First Name*
8. Last Name*
10. Residential House Number*
    House # and apt letter, if any
11. Residential Street Name*
    Use N, S, W, E; do not spell out or use periods!
12. Zip Code*
14. Home Phone*
15. Mobile Phone
16. Email Address
18. My Street Address is the same as my Utility Billing Address*

    1. Yes

    1. No
19. I want to receive recycling notifications:

    1. Email
    2. Text Messages

    1. Voice Call
21. Utility Billing Address
22. City
23. Zip Code
25. Type Name as Signature*
    By signing and registering to participate in the Lincolnton Recycling Program you agree that:
    - You are a City of Lincolnton resident;
    - You will only place acceptable items in the recycling bin;
    - You understand contamination issues will delete you from the program. After three strikes, you will forfeit your recycling bin for one year
26. Date*
    Date
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field