Plastic Pollution Ambassadors
If you are an ambassador working to create positive change on plastic pollution, please fill in this form to put your work on the map!

PLEASE NOTE – any location information given here will be displayed on the map

Ambassador name *
Your answer
Organisation Affiliations
Your answer
Area(s) of interest/ interest in collaboration *
Your answer
City *
Your answer
County / State
Your answer
Country *
Your answer
Website
Your answer
Contact Information *
Please note this will be displayed on the map for all to see
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service