Keep It Clean! 2008 Wrap-Up Form

Please return this Evaluation/Wrap Up form and extra cleanup supplies to Keep Greater Milwaukee Beautiful within two weeks of your cleanup date. *In order to be eligible to receive supplies for your next cleanup, you must return this form.

Facilitated by Keep Greater Milwaukee Beautiful, Inc.

First Name

Last Name

Organization Name

Address

City

State

Zip Code

Day Phone Number

Alternate Phone Number

E-mail

Check your preference for being contacted

E-mail

Phone

Postal Mail

Cleanup Location

Date of Cleanup (mm/dd/yy)

Start Time of Cleanup

End Time of Cleanup

Number of Volunteers who Participated in Your Event

Number of Bags of Litter Collected at Cleanup Event

How did you hear about Keep Greater Milwaukee Beautiful?

Comments/Questions

Don't forget to send us flyers or pictures from your cleanup! Thank You!

Initials

Date (mm/dd/yy)

Indicates Response Required