Great American Cleanup - Registration for 2008

* Name of Group:		* Contact:
Day Phone:		* E-mail:
Mailing Address:		* Physical Shipping Address:
City, State, Zip:		* City, State, Zip:
Fax:		* indicates a required field No PO box numbers

We are planning the following ACTIVITIES (Check all that apply):

Community beautification
Litter, debris removal
Flower, Tree plantings
Graffiti removal
Litter-free Events
River, lakeshore cleanup
Playground/Park Restoration
Paint community buildings
School locker cleanout
Illegal dumpsite cleanup
Clothing collection
Recyclables collection
Schoolyard cleanup
Electronic recycling
Plastic container recycling
Tire recycling
ODOT Trash Off
Enviro Education Project
Other (describe below)

Describe Other Activities:

Approx. number of volunteers:
Approx. number of volunteer hours:
Date of event(s):
Event location(s):
Officials and/or celebrities involved:
Special notes:
Please enter this code in the box below:

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