PLOGGING FORM START-UP — THE GREEN INSTITUTE

PLOGGING GROUP

Start-Up Form

Fill this form to start-up a plogging group in your community

Name

First Name

Last Name

Gender

Male

Female

Other

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

How did you hear about this Plogging Group?

Social Media

Green Institute Web-page

Friend

Google Search