Cleanup Supply Request Form
Your Information & Input are Important!
Thank you so much for helping to Keep DeKalb Beautiful! Please complete the following form so that we may better understand the type and amount of equipment needed to make your event successful. Supplies are provided for use at no charge and are to be returned the following week after your clean up. In addition to returning equipment, please submit your Clean Up Report to KDB which can be found at keepdekalbbeautiful.org. Successful return of our equipment and the reporting of your event allow KDB to manage costs of purchasing equipment, tells KDB staff where to collect bags from your cleanup and help us plan future cleanings in your area.

Please fill out the KDB Supply Request form only within a week of your scheduled Community Clean Up and supplies are to be returned the following week after your scheduled clean up. Also, you are only allowed to choose up to 20 of each item.

First Last Name *
Your answer
If your group has a name, please provide.
Example: Tucker Civic Association
Your answer
Address
Example: 123 Main Street
Your answer
Zip Code
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
When is your cleanup scheduled? *
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How many number of volunteers do you expect to participate? *
Your answer
Type of cleanup: *
Please check the type of area that you are planning to clean:
Required
Orange Bags
Orange bags are specifically for garbage (materials not fit for recycling). How many do you expect you will need?
Your answer
Gloves for clean up:
KDB provides gloves for community clean up volunteers. How many pairs do you need for your event?
Your answer
Pick up sticks:
Pick up sticks make volunteers more efficient and reduce the need to bend or stretch to retrieve material. You should allow one for each volunteer that will be collecting materials. How many do you need?
Your answer
Number of Safety Vests:
Vests protect volunteers by ensuring nearby traffic is aware of your presence. KDB requires use of safety vests at all times during a cleanup. How many do you need?
Your answer
When would you like to pick up supplies? *
Please allow 3 – 5 business days for processing of all supply requests.
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DD
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Comments:
Please share any special requests or thoughts here. We appreciate any feedback you may share.
Your answer
Are you an Adopt -A- Road Member? *
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