Recycling Presentation Request

Recycling Presentation Request

Conducted by the Clinton County Solid Waste Management District
Thank you for your interest in our FREE recycling presentations! Please provide the information below so we can best meet your group’s needs.
Your Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School or Group
If yours is not listed, please select OTHER.
If other, please describe.
Which program are you interested in?

Other
Click here for specific details about the presentations listed above.
Number of Classes
Number of Students per Class
If unsure, please provide a reasonable estimate.
Does the room have a computer and large screen for a brief slideshow?
Preferred Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year1st Choice
Alternate Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year2nd Choice
If you have a class schedule with specific presentation times, you can attach it here or include it in the Comments section below.

Cancelof
Questions or Comments:
Please click "Submit Request" below to forward this information to the Clinton County Solid Waste Management District.
Should be Empty: