Great Lakes 2008 Earth Day Challenge: Collection Results
Page One
1.
Contact Information
First Name
Last Name
Title
Company Name
Street Address
Apt/Suite/Office
City
State
Postal Code
Country
Email Address
Phone Number
Fax Number
Mobile Phone
URL
Please answer remaining questions based on EACH event held. If only 1 event was held, only complete 2-4.
2.
Date event was held
3.
How many pounds of electronics were collected during your event?
4.
How many pounds of unwanted medicines was collected during your event?
Please answer the remaining questions for each additional event held.
5.
Date event was held
6.
How many pounds of electronics were collected during your event?
7.
How many pounds of unwanted medicines was collected during your event?
8.
Date event was held
9.
How many pounds of electronics were collected during your event?
10.
How many pounds of unwanted medicines was collected during your event?
11.
Date event was held
12.
How many pounds of electronics were collected during your event?
13.
How many pounds of unwanted medicines was collected during your event?
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