State of Vermont
E-Cycles Registration
Vermont DEC
Recycler, Collector, & Transporter Registration Form
Please complete all required information in the fields provided and click [Submit Registration] when done.

Note that your registration is not complete until you receive a confirmation e-mail.

Failure to complete the registration by October 1 may result in a penalty under 10 V.S.A. §8003(a) and §8010(c)(1).

If you have questions completing this form, please contact the VT E-Cycles Program:
John Fay - Environmental Technician - (802) 522-5771

If you have already started the registration process and you would like to log in and continue, or you have registered
but would like to edit your information, click here.
Registrant Information
The registrant should be the person authorized to complete this form and able to certify the information submitted herein.
Name:  
Phone:  
Email Address:  
Confirm Email Address:  
Please include contact information for facility or One-Day-Event operator if different from registrant.
Name:  
Phone:  
Email Address:  
Confirm Email Address:  
Facility Information
Facility/Business Name:  
Mailing Address 1:  
Mailing Address 2:  
Town:  
State:
Zip Code:  
Phone:  
Web Site:  
Please select:
 
   
Type of Facility:
Check all that apply.


 
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