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Be sure to print and save the PDF before you submit it. The form will clear upon hitting the submit button. Submission is by email and depending on how your email is set up this will work.

If you have issues with the email submission, the application can be emailed to or mailed to:

MiD-America Environmental Solutions
MiD-America Waste Solutions, LLC
P.O. Box 737
Carthage, MO 64836

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