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Park Clean Up Tool Kit
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Email
*
Your email
Name (First & Last Name)
*
Your answer
Phone Number
*
Your answer
Address to mail tool-kit
*
Your answer
What community will you be collecting tobacco waste from?
*
Your answer
Would you like a litter grabber(s) if available?
(we request that these be returned with your tobacco litter)
*
Yes
No
Will you be willing to deliver the tobacco waste you collect to CHI Health Midlands in a provided bag so it can be recycled?
Yes
No
I will set up my own free account through Terracycle to recycle the waste on my own
Other:
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