Citywide Cleanup Pop-Up Event Request
Thank you for inquiring about an official Citywide Cleanup pop-up event. Please fill out the form below, and an Anchorage Chamber staff member will follow up with you within 1-2 business days.
Name of Company/Organization:
*
Primary Contact's Name:
*
First Name
Last Name
Primary Contact's Email Address:
*
example@example.com
Primary Contact's Phone Number
*
Please enter a valid phone number.
Pop-up Location, or Meeting Place
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you an Anchorage Chamber Member?
*
Yes
No
Requested Date of event:
*
-
Month
-
Day
Year
Date
Start & End time of Event:
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
The details of the event:
How many cleanup bags do you need? (cannot exceed 100)
*
Please include your logo, and any photos, flyers, etc. for marketing/advertising:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Directions/parking instructions:
Will you be giving away special promos and/or door prizes?
Yes
No
I understand that pop-up events DO NOT include a dumpster, and that I am responsible for the disposal of all trash from the pop-up event at designated drop off locations found on www.citywidecleanup.org
*
YES
Submit
Should be Empty: