Did an IMEX listing lead you to an exchange of materials? If so, we need to hear how things worked in order to demonstrate our program's effectiveness. Please fill out the form below, making sure to include your e-mail address. Thanks! Fields marked * are required
* First name:
* Last name:
* E-mail address:
Phone:
Your business name:
Your business' industrial code: Either SIC or NAICS; this code can be found on your state revenue license.
SIC
NAICS
* Material exchanged: (Example: Potassium permanganate.)
* IMEX listing number: (Example: A0303747.)
* Should this listing be removed from the catalog?
Yes, remove No, don't remove
* Date of exchange:
mm/dd/yyyy (month/day/year)
* Quantity exchanged (please provide the units of measure: gallons, pounds, number of items, etc.)
* Estimated disposal savings: (What disposal would have cost if IMEX weren't available. Use numbers.)
$
* Estimated material cost: (What new material would have cost if IMEX weren't available. Use numbers.)
Name of business that received/gave material (if known):
* Exchange city where material came from: (If you received material)
* Exchange city where material went to: (If you provided material to someone else)
Actual price recipient paid: (Use numbers.)
Additional comments:
Modified: Conditions of use
