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2. Complete the form to show interest in the Lighthouse Point Residential Compost Pilot Program. The pilot program will include a five-gallon bucket for each resident. Residents will be responsible for dumping their compostable material into larger containers located in the Dixon Ahl Hall parking lot. It is recommended to empty your compost bucket bi-weekly. This pilot program is currently free for Lighthouse Point residents. Funding will be determined on an annual basis, should the program be successful in its initial term. The pilot program is first-come first-served and limited to 50 residents. Address verification may be required. Interested residents will be contacted.
4. First and Last Name*
6. Street Address*
8. Phone Number*
9. Email Address*
11. Comments
13. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
15. Electronic Signature
17. Date
    Date

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

    This field is not part of the form submission.

21. Submit

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