Please fill out this petition to help us make your wishes known and voice heard to the appropriate decision makers and elected officials representing you in your area. It is incredibly helpful to be able to show the decision makers that we are creating partnerships and programs with how many people are ready for a mattress recycling program to be set up in their community, expect something to be done, and will use it once it is set up. Your information will not be used for any other purpose than this.

* How big is your household?

* How old are you?

* How many years have you lived here?

* Are you a registered voter?

By checking the 'Yes, I do' box below I authorize Renewable Recycling, Inc. to communicate to my elected officials and representatives that I want a Mattress Recycling Program in my community now!