We Want to Make Montgomery County More Beautiful! Tell us about your project and receive cleanup supplies free! *Contact Name: Group/Organization Name: (if applicable) *Address: *City, State, Zip: *E-mail (correspondence will be transmitted by e-mail): *Contact Phone Number: Fax: Brief Description of Cleanup Project (include date/time, special activities, beautification, etc.) Number of Volunteers: Adults: Children (14 and under): Number of Supplies Needed: # of Bags: # of Gloves: Once you receive confirmation of your registration, your supplies will be ready for pick-up Monday-Friday, 7:30 a.m. until 4:30 p.m., or upon appointment, at 2550 Sandridge Dr., Moraine, OH 45439. How did you hear about our program? Select One Website Television Advertisement Newspaper Community Calendar Library Flyer/Brochure Other If other, please describe:
