Beach Cleanup Interest Form

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Beach Cleanup Interest Form

Location:

Santa Monica Beach

200 Santa Monica Pier

Santa Monica, CA 90401

Date and Time:

Sat, October 19, 2019

10:00 AM – 12:00 PM PDT (Beach Cleanup)

12:00 PM – 2:00 PM PDT (Social)

For any questions contact Alex Cerano-Lopez at (909) 575-9601

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* Indicates required question

Name (First and Last) *

Ex. Billy Bronco

Your answer

Carpool *

I can provide carpool and help reduce our carbon footprint

I will drive myself

I need a ride

Email *

Your answer

Phone # *

Your answer

Zip Code *

Your answer

Which club/organization are you representing? *

Your answer

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