2017 Great American Clean-Up (GAC) Sign-Up Form
Registration Forms are due by Friday, February 24, 2017
Coordinator Information
Name
Your answer
Organization
Your answer
Address
Your answer
City, State
Your answer
Phone Number
Your answer
Email
Your answer
Event Information
Event Date
MM
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DD
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Number of Volunteers
Your answer
Type of Event
Supply Request Section
Please note: safety vests, pick-up sticks and any unused supplies must be returned to the KCB office after your event.
Pick-Up Sticks (Please list amount requested)
Your answer
Safety Vests (Please list amount requested)
Your answer
Gloves (Please list amount requested)
Your answer
Trash Bags (Please list amount requested)
Your answer
Supply Pick-Up Date
Please plan for pick-up at Keep Cobb Beautiful, 1792 County Services Pkwy., Marietta, GA 30008
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DD
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Time
:
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