Composting Interest Form July 2021 - June 2023 Question Title * 1. Contact Information Name * Physical or Mailing Address City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number Question Title * 2. Have you ever used a compost system before Yes No Sort of / Kind of / I dont know Question Title * 3. What is your current knowledge of what a composting system needs Extremely familiar Very familiar Somewhat familiar Not so familiar Not at all familiar Question Title * 4. Are you interested in a composting session to gain more knowledge? Yes No Maybe Question Title * 5. If you answered yes or maybe to being interested please select all locations that you would be willing to attend if a session was provided. If you answered no please select not interested. Goldendale Dallesport White Salmon Bingen Bickleton Not Interested Other (please specify): Question Title * 6. The reduced cost composting bin program is part of a grant funded program sponsored by the Washington Department of Ecology in cooperation with the Klickitat County Solid Waste Department. A requirement for the grant is for the Solid Waste Department to conduct follow-up surveys to each participant which will be done through email. Each household is limited to 1 composting bin through our program for the reduced fee. Yes and I am willing to meet the requirements listed above No I am not interested at this time Done