Please provide contact information for the club member that will be the primary contact for Community Cleanup on Nov. 4, 2012. The primary contact will receive any additional information about the event.
The deadline to register is Oct. 26.
Club or Organization (if registering as individual, please type in "individual"):
Primary Contact's First Name:
Primary Contact's Last Name:
Primary Contact's UST ID (100XXXXXX):
Number of people attending from your group: