Toolkit Request Form
Want to see a cleaner Lafayette? We've got the tools to help you do that. Fill out the form below to request you're very own litter cleanup toolkit.

Parish Proud will hand-deliver your tool kit to your preferred delivery location! You'll also receive email communications regarding estimated delivery time, litter hot-spot suggestions and social media best practices so you can share how you show off being #ParishProud!

A toolkit contains Parish Proud safety vest, third arm/grabber and a pair of work gloves.
First Name *
Last Name *
Email *
Preferred Full Delivery Address *
Zip Code *
Special delivery instructions
Phone *
How many litter toolkits do you need? *
Where do you plan to pick up litter? *
How do you plan on picking up litter? *
Did you know if you tag Parish Proud showing your efforts with #PickUpLFT you can be entered to win a gift card? *
Do you agree to the following rules and regulations of the #PickUpLFT Contest? *
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