Register Your Screening of #ToxicLegacy
Register your home or community screening of "PCBs: GE's and the EPA's Toxic Legacy" and request additional materials by filling in the information below.
Primary Contact Name *
Your answer
Primary Contact Email Address *
Your answer
Primary Contact Phone Number
Your answer
Screening Date *
MM
/
DD
/
YYYY
Screening Time *
Time
:
Screening Location (we won't share this without your permission) *
Your answer
Location Type *
Is the screening open to the public? *
The Campaign for a Cleaner Hudson has pre-addressed postcards to the head of the EPA, Gina McCarthy. Would you like us to send you a stack to hand out to your audience members?
Submit
Never submit passwords through Google Forms.
This form was created inside of Scenic Hudson, Inc. Report Abuse - Terms of Service