Category:
Neighborhood School Civic/Social/Religious Group AAH/AAS Group

Name of Group:

Contact Leader Name:

Address:

City:

Zip:

Daytime Phone Number:

Email:

Proposed Project Type:
Beautification
Graffiti Removal
Litter Cleanup
Reduce, Reuse, Recycle
Other:

Proposed Project Dates:
mm/dd/yyy seperated by comma's

Proposed Project Location(s):

Briefly describe your project:

Why did you choose this project?