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Sacramento Stormwater Quality Partnership
River-Friendly Carwash Program
   

 

Sponsor:

Registration for Parks, Schools/School Districts, and Others

* Required Fields
ORGANIZATION INFORMATION
Registered As *
Organization Name *
Specific
Site Address * Unit#
City * State * Zip *
Site Phone * Format: 916-555-5555

ORGANIZATION LEADERSHIP/OWNER INFORMATION (or Corporation/Entity)
First Name * Last Name *
If owner not a person, enter corp/entity as first name and underscore (_) character for last name.
Mail Address * Check this box if Owner's or Corporation Mail Address is same as Site Address:
Unit#
City * State * Zip *

SITE MAIL INFORMATION
Site Mail Address * Check if Site Mail Address is same as: Site Address Owner Address:
Unit#
City * State * Zip *

CONTACT PERSON INFORMATION
Full Name *
Phone * Cell Fax
E-mail *

OTHER INFORMATION
Fundraising Event Options  *
When necessary, choose "Different than listed" above and enter description below manually:
Group Participation Information *
When necessary, choose "Different than listed" above and enter description below manually:
City Code
Organization Website

MAILING INFORMATION
Subscribe for the Following Mail Lists
Mail Preference *
  

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