Complete the short form below to register your business with the Tempe Grease Cooperative (TGC).

1

Business Name

 *

Business Name

2

Business Street Address

 *

Business Street Address

3

Postal Code

 *

Postal Code

4

First name

 *

First name

5

Last Name

 *

Last Name

6

Email address

 *

Email address

7

Phone Number

 *

Phone Number

8

Is your grease control device located inside or outside? 

 *

Is your grease control device located inside or outside?

Inside

Outside

Do not know

9

When was your grease control device last serviced?

 *

When was your grease control device last serviced?

Within the last 30 days

Within the last 90 days

More than 90 days ago

Do not know

10

What condition is your grease control device?

 *

What condition is your grease control device?

New

Good

Fair

Poor

Do not know

11

Which days during the work week are best to schedule grease pump out services? 

 *

Which days during the work week are best to schedule grease pump out services?

Monday

Tuesday

Wednesday

Thursday

Friday

12

Which time frames may work best during the selected workdays? 

 *

Which time frames may work best during the selected workdays?

Before 7 a.m.

7-9 a.m.

9-11 a.m.

Other If other, type text here.

13

Any comments or additional questions? Please type them here.

Any comments or additional questions? Please type them here.

14

Please read and review the terms of enrollment. 

I have read and accept the terms of enrollment.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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