New-Brunswick-Collection facility registration form

Opening hours *

Collector's Name *
Collector
*If you haven't found your Collector yet, choose one in our collector's list serving your area.
Where have you heard about UOMA-NB? *
Television, website, magazines, newsletters, etc.
This agreement authorizes UOMA NB to register your company with UOMA NB as a collection facility for used oil and antifreeze, used oil filters, used containers of oil and antifreeze (including used containers of 50 litres or less, break cleaner and lubricant aerosol containers) for the general public.

Your information will be posted on our website UOMA NB or given verbally to those who call in. You agree to function as a collection facility for a minimum of 1 year and offer the drop-off service free of charge to the public. You are responsible for contacting UOMA NB to report any changes that occur to the information posted on the website.

UOMA NB will forward you a one-time bonus of $ 100.00 plus taxes after 3 months of operation as a thank you for assisting the UOMA NB program. Your company will continue to be displayed on our website as an active collection facility until such time as you request to be removed.
I, {contactInformation}, {title} , declare to be duly authorized to act herein and certify that our company, association or municipality {companyName} acts in accordance with applicable laws and regulations.
Signature *

I confirm this signature.
Date *

Day Month Year
Should be Empty:

UOMA New Brunswick - Collection Facility Registration Form