Barrel Supplier Intake Form

Thank you for your interest in supplying used barrels to our rainwater harvesting customers by participating in our national barrel “upcycling” program. Our program is the perfect barrel recycling solution! This information allows us to ensure that your barrels are compatible with our DIY RainKits™ and safe for reuse.

All barrels must be 55-gallon food-grade poly-drums that look like the one in the picture below. Once you have submitted your form, we will review your information and get back to you to discuss program details.

Please note that this form serves as an application of interest and does not guarantee a listing.

Fields marked with an asterisk (*) are required.

SUPPLIER INFORMATION:

Applicant Barrel Supplier:*

Name of company, organization, or individual seeking to enter a Barrel Supplier Agreement with BlueBarrel

Website:

Contact Person

Name:*

First Last

Title:

Email:*

Phone:*

Mailing Address

Mailing Address:*

Street or P.O. Box Address Line 2 City State ZIP Code

How did you hear about BlueBarrel and our Barrel Exchange Program?

BARREL INFORMATION:

This information allows us to ensure compatibility with our rainwater harvesting conversion kits, and that barrels are safe for re-use.

Barrels must look like the following:

Mandatory barrel requirements:

Please check all the boxes that apply to your barrel stock. Containers that do not meet the following criteria cannot be accepted at this time. Please contact us if you have questions about other barrel types.

SHAPE: Cylinder, 35" tall x 23" diameter
MATERIAL: HDPE food-grade plastic
COLOR: Blue preferred, green ok (no black, red, yellow, white or transparent barrels accepted)
MODEL: Tight head (no removable lid)
BUNGS: Two 2" bung openings on one end of the barrel
BUNG THREADING: One bung with fine threads ("NPS"), the other with coarse threads ("buttress")
CONDITION: Rinsed out and watertight with no breaches or tears in the sidewalls or bung threads

Upload a photo of your barrels.*

Max. file size: 5 MB.

Please list all substances that may have been contained in your barrels*

(only for those barrels that meet the above criteria)

Have your barrels ever contained toxic chemicals?*

How many barrels do you currently have in stock?*

(only report those that meet the checklist criteria above)

How many of these barrels do you typically keep in stock?*

Please estimate your normal inventory flow for this type of barrel*

barrels per

Additional comments about your barrels

BARREL PICKUP INSTRUCTIONS:

This information will allow us to create a sample barrel pickup voucher for your review. We will not present this information on our website until we have reviewed your questionnaire with you and signed a barrel supplier agreement.

Pickup Contact

Check if same as above

Name*

First Last

Email*

Phone*

Pickup Address

Address*

Street Address (must be physical address) Address Line 2 City State ZIP Code

Pickup Days and Hours*

Any more details or special instructions regarding customer pickup?

PAYMENTS:

How much are you asking per barrel?

Most of our participating barrel suppliers offer us a wholesale price. We will contact you to discuss pricing before firming up an agreement. If you are not sure what to propose, you may leave this field blank.

How would you like to be paid?*

DELIVERY SERVICES (OPTIONAL):

Delivery radius or service area

Delivery pricing structure or price range

Other notes related to delivery

Phone

This field is for validation purposes and should be left unchanged.

SUPPLIER INFORMATION:

BARREL INFORMATION:

BARREL PICKUP INSTRUCTIONS:

PAYMENTS:

DELIVERY SERVICES (OPTIONAL):

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