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DIY CLEANUP DATA CARD
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* Indicates required question
Full Name
*
Your answer
Phone number
*
Your answer
Email
Your answer
Cleanup Date:
*
MM
/
DD
/
YYYY
Cleanup Address (provide township, city or village and in which county):
*
Your answer
# of People Participating in Cleanup:
*
Your answer
Time Spent During Cleanup:
*
Your answer
Estimated weight of trash (orange bag):
*
Your answer
Estimated weight of recyclables (blue bag):
*
Your answer
Where did you recycle your materials?
*
Curbside Recycling Bin
Township Aim to Be Green Site
Local scrapyard (for metal payment)
No recycled materials
Required
I would like to receive email reminders for upcoming OSS Programs and Events (please include your email below).
Your answer
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