Request for EPRA Registration Package

This form is for Potential product stewards for the electronic Products Recycling Association of BC (EPRA-BC) recycling program.

If you are interested in receiving further information from EPRA-BC on the product stewards registration package, please complete the form below.

By entering your company's information, you will be placed on a list to receive a registration package from EPRA-BC.

To find out which products are part of the EPRA-BC program, please visit www.return-it.ca/electronics/industry/technical.

Fields marked with * are required.

Industry Association:	*	Industry association you are a member of or received the notice from:
Company Name:	*
Address:
Address 2:
City:
Province:
Postal Code:
Phone:
First Name:
Last Name:
Contact Email:	*