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Keep Mecklenburg Beautiful
/ GAC Registration Form
2009 Great American Clean-Up Registration Form
Contact Information:
Name of Teacher or contact:
Name of School/Association:
Address:
Contact Phone Number:
Contact e-mail:
Please tell us about the planned Clean-Up project:
Date(s):
Place:
Number of Participants:
PLEASE TAKE PICTURES!!!
After the event, let us know how it went (how much litter you collected, any unusual items or an unusual amount of one item, how many participants came that day and any reactions from the participants to the clean-up) and send along some photos for inclusion on the Keep Mecklenburg Beautiful website. Direct all inquiries to Jake Wilson at 704-432-1772 or e-mail Jake.Wilson@mecklenburgcountync.gov
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Mecklenburg County,
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