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2. Use this form to report any cleanup activity conducted within Montgomery County (for example: Great American Cleanup, Adopt an Area, and other community projects). We appreciate your efforts in Keeping Montgomery County Beautiful and will use this information to report your success. Please complete only what applies to your project.

4. Organization
6. Contact
7. Email
9. Date of Project (mm/dd/yyyy)
10. Location of Project
12. Type of Project
    -- Select One --Great American CleanupLitter LeagueOther

16. Events & Volunteers

18. Number of Events Held
19. Number of Volunteers (Total)
21. Number of Volunteer Hours
22. Number of Communities Involved in Activities

26. Cleanups

28. Pounds of Litter & Debris Collected

    Please note: 1 bag of litter = estimated 20 pounds.

29. Miles of Streets, Roads, Highways Cleaned
31. Miles Alongside of Railroad Tracks Cleaned
32. Acres of Parks Cleaned
34. Miles of Hiking, Biking, Nature Trails Cleaned
35. Miles of Rivers, Lakes, Shorelines Cleaned
37. Number of Underwater Cleanups Conducted
38. Number of Acres of Wetlands Restored
40. Number of Illegal Dump Sites Cleaned
41. Number of Junk Cars Removed
43. Number of Playgrounds or Community Recreation Areas Cleaned, Restored, Constructed

47. Reduce, Reuse, Recycle

49. Number of Bags of Aluminum / Steel Recycled
50. Number of Bags of Newspaper Recycled
52. Number of Pounds of Clothing Collected for Reuse

    Please note: 1 bag = estimated 30 pounds.

53. Number of Tires Collected for Recycling

    Please note: 1 tire = 24 pounds.

55. Number of Batteries Collected for Recycling

59. Beautification

61. Number of Trees Planted
62. Number of Flower & Bulbs Planted
64. Number of Homes Painted
65. Number of Commercial Buildings Painted
67. Number of Graffiti Sites Abated
68. Number of Vacant Lots Mowed
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70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

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