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Donation Bin Application

  1. Contact Information of Donation Bin Company
  2. Property Owner Information
  3. Consent of Property Owner*

    By checking this box I attestthat I have received written consent from the property owner to place a donation bin s)

  4. Please attach the written consent of the property owner here

  5. Office of the Company Sharing Profit
  6. Review of Chapter 96*

    By checking this box, I consent that I have reviewed and understand Township Code, Chapter 96 pertaining to Donation Bins

  7. Copy of an accurately scaled survey/plot plan that shows all existing and proposed construction drawn to scale and setback dimensions from property lines of all proposed donation bins

  8. Township owned property

    Certificate of Liability Insurance, noting Wall Township as additionally insured, in the amount of 1 (one) million dollars if the bins are located on Township-owned property.

  9. Fee

    The annual permit fee is $50.00 (fifty dollars) per bin.  Checks can be made payable to the Township of Wall.  We also accept credit and debit cards; please contact (732)449-8444 ext. 2200 to provice payment details. 

  10. Please indicate how many bins will be on the property

  11. Leave This Blank:

  12. This field is not part of the form submission.