Enrollment Form

* Your email address will be used as your username to log in to your online account, and GRF communications. Your password should be 6-10 characters using numbers and letters only.

You will receive a Welcome Packet approx. 5-7 business days after enrollment that contains some materials to begin, including a batch of free shipping labels. If you need shipping boxes, please use the "Re-Order Supplies" link after your account number is emailed to you.

Name of Your Organization:

Contact Person:

Address:

Address:

City:

State:

Zip:

Phone:

Your account access password**:

Email:
 

Your Facility:

Commercial area
Residential area
 
Please see shipping instructions. UPS defines commercial as front door open to the public.
 

Reimbursement:

All financial reimbursements from participating in the Global Re-Source Funding program should be made payable to:
 
  (organization / coordinator)
 

How did you hear about us?

Other
 

**Please note that your email address will be used as your username. You will be given your account number 1-3 business days after your registration has been set up. You will need your email address, account number and password to view your account shipment receipts.

**All accounts that send in less than $15 for the year (July 1st to June 30th) will have their proceeds donated to a charity supported by GRF. This excludes accounts that have sent in their first shipment less than 3 months before the year-end.