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2. 
4. Neighbor Name:*
6. Address:*
8. Please Check One:*

   1. Do you own your home? (Owner)
   2. Do you rent your home? (Renter)
10. If you are a renter, please share the name and contact information of your landlord so that we can share with them our project ideas:
12. Which of the following interests you?

    1. Having a small tree planted at your address?
    2. Pick up items for dumpster?
    3. Pick up items for recycling?
    4. Other ideas to improve your place:
14. Other ideas to improve your place:
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field