Vendor Registration

First Name *

Last Name *

Email *

Phone *

Company *

Position

Do you require an invoice? *

Yes
No

Logo Upload *

URL destination for vendor logos

Do you need a W-9? *

Yes
No

Would you like to pay by ACH? *

Yes
No

Payment note

Payment is due by March 7th.

Mail payment to:

Casella Waste Systems Inc.
25 Greens Hill Ln
Rutland, VT 05701
Attn: Dawn DeGraaf

How many from your company will be attending? *

Consent for storing submitted data *

Yes, I give permission to store and process my data