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Keep Mecklenburg Beautiful
/ GAC Report Form
2009 Great American Clean-Up Report Form
Please complete the requested information and submit.
Association/School Name:
Contact Name:
Telephone:
E-mail:
Fax Number:
Neighborhood/School Size/Population:
Percent of Active Members:
Potential Volunteer Base:
Association/School Meeting Schedule:
Association Fee, if applicable:
Does your association/school have a newsletter?
yes
no
Who is the contact (name and number)?
If not, how does communication occur?
Do you host activities involving your community youth? If so, please explain.
Direct all inquiries to Jake Wilson at 704-432-1772 or e-mail Jake.Wilson@MecklenburgCountyNC.gov
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Mecklenburg County,
North Carolina
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