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Compactor Registration

Steps

1. Resident Information This section is complete This section is incomplete
2. Vehicle Information This section is complete This section is incomplete
3. Agreement This section is complete This section is incomplete

Resident Information

Please fill out your information below.
First Name*
Last Name*
Ohio Driver's License #*
Address 1*
Address 2
City*
State*
Zip*
Phone Number (###-###-####)*
E-Mail*
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Vehicle Information

Number of Vehicle(s)*
License Plate*
Year*
Make*
Model*
Color*
License Plate*
Year*
Make*
Model*
Color*
Consideration for more than two decals will be done on a case by case basis. Please explain reason for additional decal needed below:
License Plate*
Year*
Make*
Model*
Color*
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Agreement

Agreement
The above information is true and correct to the best of my knowledge. I understand that by accepting and using a City of Fairlawn compactor decal(s) I agree to follow all rules and regulations of the Andrew E. Sombati Compactor and Recycling Center. I understand that if I violate the compactor or recycling center rules in any way, my privileges can be suspended indefinitely.
1. Agree

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

This field is not part of the form submission.
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