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 complete the information below to help us prepare the best program for your group.
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.
Age or Grade
If yours is not listed, please select OTHER.
If other, please describe.
Number of Classes/Presentations
Number of Students per Class
If unsure, please provide a reasonable estimate.
Preferred Date

MonthDayYear
1st Choice
Alternate Date

MonthDayYear
2nd 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: