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Spring 2021 Neighborhood Litter Cleanup Supply Request Form

  1. Use this form to schedule a contactless pickup of supplies and instructions for your personal fall cleanup.

  2. Please submit only one form per family/small group!

  3. Check to acknowledge you have read and agree to the required Cleanup Guidance.*

  4. Contact Information (if a group - provide one main contact person)

  5. Cleanup Location

  6. Location of cleanup must be within Mansfield city limits. The exact reported location/site address is required:

  7. Supply Details

    Your group will be provided trash bags, gloves, and trash grabbers (one for every two people - we advise working in pairs with one person holding the bag and the other using the grabber).

  8. Leave This Blank:

  9. This field is not part of the form submission.