Registration Form

Great American Cleanup of Broward County 2008

Organization/Group Information

Organization/Group Name:   

Contact Name:    

Daytime Phone:   

E-mail (eg; user_name@your_domain.com) :   

Delivery Address: (For event supplies and giveaways)  

Please check one of the following options:

    My group is interested in organizing a cleanup event.

    My group is interested in volunteering for a GAC 2008 scheduled event.

  My group is interested in a Litter Prevention Waste Reduction Education Presentation.

If you check any of the above, a staff member will contact you. You can also contact us on our Litter Hotline at 954-474-1835.