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Spring Clean Up Volunteer Registration

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Please correct the field(s) marked in red below:

Fill out this form to register your group or call (252) 329-4522.

If you have any questions or need additional information, please contact the Public Works Recycling Coordinator at (252) 329-4522.


1
Name of Group
 *
2
Name of Contact
 *
3
Address of Contact
 *
4
Phone Number
 *
5
Fax Phone
6
Location of Project
 *
7
Number of Volunteers
 *
8
Age Range of Volunteers
 *
9
Scheduled Date of Clean-Up
 *
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