Earth Day Signup Form

Information

• Name of your group*
• Name of company / organization*

• Number of people in your group*
• OCRRA provides trash bag stickers for free Earth Day disposal. (2 stickers per worker.) If you need ADDITIONAL stickers, please indicate how many.

Contact Information

• Contact person's first name*
• Contact person's last name*
• Street address* (Where information & stickers will be sent)
• City*
• Zip code*

• Phone number (home)
• Phone number (work)
• Email*
• Confirm Email*

Clean Up Information

• In which city/town/village will you be cleaning? Not sure? Check out this map: ---BaldwinsvilleBrewertonBridgeportCamillusCiceroClayDeWittE SyracuseElbridgeFabiusFayettevilleGeddesJordanLaFayetteLiverpoolLysanderManliusMarcellusMariettaMemphisMinoaNedrowNorth SyracuseOnondagaPompeySalinaSolvaySpaffordSyracuseTullyVan BurenWestvale
• Day(s) your group will be cleaning:* (Check one or both) Friday, April 23Saturday, April 24
• I would like to be notified of future OCRRA events and programs, such as the paper shredding event, via email.* You can unsubscribe from OCRRA's email list at any time.

  
  
  Yes, please add me to your email list.

• What area are you cleaning?* (Please specify where you’ll start and stop picking up, e.g. “Elm St. between State St. and Tulip Ave.” or “from 123 Main St. down to Maple Hill Cemetery.”)
• How did you hear about the Earth Day Litter Cleanup? (Check all that apply) E-mail from OCRRAOCRRA websiteOCRRA Facebook pageOCRRA newsletterSyracuse Post StandardOther newspaperTVRadioFriend / relative / neighbor / co-workerI just knew about itOther: