Keep Rockland Beautiful, Inc. · Join the Great American Cleanup

Join the Great American Cleanup

Use this form to register your litter cleanup with Keep Rockland Beautiful, and become eligible to receive free supplies like litter bags, t-shirts and litter grabber tools. Registering online also automatically enters you in our raffle drawing, which takes place at the Volunteer Appreciation Reception, after the cleanups.

Yes, I’ll be at the Great American Cleanup Kickoff Event to meet cleanup volunteers, enjoy refreshments, and pick up supplies (see KRB website for details, and call KRB to discuss how many shirts/bags you will need or to arrange an alternate pickup date).
(TEST)

Your Registration Information
Due April 10 Please fill this form out complete.Note: required items marked with an asterisk.

Name of organization or school:

Your contact info:
	Name*	Street	City	Zip

Phone*:

Email* :

Fax (optional):

Approx number of volunteers:

Preferred cleanup date:

Raindate:

Your cleanup location(s) (town, hamlet and/or street names):

Meeting Time and Location:

Are other volunteers welcome (if you check "No" we will not include your cleanup plan in press releases and web listings) Yes No

To which school would you like us to credit your cleanup registration?

How did you learn about the cleanup campaign?

Please contact me to:
Organize or help with a clean-up
Schedule a speaker
Adopt-A-Highway

Put me on the t-shirt please!
Due March 1
Name/text for t-shirt:

$75 Families, clubs and civic groups
$125 Small businesses
$300-2000 Sponsorship options, in addition to the t-shirt, include: street banners; Volunteer Reception; Annual Awards event; KRB’s newsletter; or Please make checks payable to: “Keep Rockland Beautiful” and mail them in by March 1st to ensure inclusion on this spring’s t-shirt! E-mail us your logo.
I support community cleanup with a donation of: $

To insure inclusion on this year’s commemorative t-shirt, donate on-line or make checks payable to: Keep Rockland Beautiful and mail to KRB, 10 Maple Ave, New City, NY 10956 by March 1! Send us your logo by email: krbpc@aol.com

* are required fields

Great Grabber, Low Price

This brightly colored Orang-U-Tong "grabber" made cleanups fun but broke too easily so we have switched to more durable metal grabbers. You can borrow or buy them for a donation of $6 or more (our cost). The perfect fashion accessory for civic-minded people. Extensively field-tested by KRB staff and volunteers, the tool is a “must have” for homeowners, adopt-a-roaders, cleanup organizers and anybody who has ever lost a sock behind the washing machine. Kids love ‘em, they come in all different colors, we can custom-label them with your group’s name. These beauties only cost us $6, due to our affiliation with Keep America Beautiful, and we pass this savings directly to our precious cleanup volunteers. When the snow melts, hang up your shovel and take your grabber for a stroll! Call the Litter Hotline 708-9164.