Microplastic Evaluation Form
By completing this evaluation form, you are automatically entered into a drawing this fall to win free lodging, restaurant dinning, and tickets to various Newport attractions.  THANK YOU for doing your part to help remove microplastic from our Newport-area beaches.
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Please provide your name and email.  We will not share your email!!
1.  How would you rate your overall microplastic removal experience? (1=Low / 5=High) *
Required
2.  How did you learn about the Newport Rotary microplastic removal project?
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3.  How would you rate the sign-up process?
 *
Required
4.  Did you use your complimentary “thank you” ticket for a free soft drink?
 *
5.  Did you learn about this activity from a Rotary Club member?
 *
6.  Are you a member of a Rotary Club?
 *
6a.  If you answered "Yes" to question 6, what club?
7.  If you live in the Newport area, would you like to attend a complementary Rotary Club luncheon and learn more about what we do? If so, leave your email address below.
8.  Would you like to learn more by a Rotary Club in your area?
 *
8a.  If you answered yes to question 8, please leave your email address and zip code below.
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