OCRRA's 2012 Earth Day Litter Clean Up Registration Form
Fill out the form below to register your group for the 2012 Earth Day Litter Clean Up, taking place on Friday, April 20 and Saturday, April 21. OCRRA will mail you disposal instructions and special trash bag stickers (2 per worker) for free Earth Day disposal.

Questions or comments? Contact us at earthday@ocrra.org or (315) 453-2866.
Sign in to Google to save your progress. Learn more
Group Information
Name of your group
Name of company / organization *
Number of people in  your group *
OCRRA provides special trash bag stickers for free Earth Day disposal. You will receive 2 stickers per worker.
If you think you will need ADDITIONAL stickers, please indicate how many extra you will need.
Contact Information
Contact person's first name *
Contact person's last name *
Street address *
(Where information & stickers are to be sent)
City *
Zip code *
Phone number (home)
Phone number (work)
Email *
Confirm email *
Clean Up Information
In which municipality (city/town/village) will you be cleaning? *
(You will be sent specific disposal instructions based on the municipality you will be cleaning in)
What area are you cleaning? *
(Your choice; please be as specific as possible to avoid overlap)
Day(s) your group will be cleaning: *
(Check one or both)
Required
How did you hear about the Earth Day Litter Clean Up?
(Check all that apply)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms