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2. Use this form to request supplies for a scheduled cleanup. Please give at least 2 days advance notice. Supplies will need to be picked up from the main entrance reception area at 513 Oyster Point Road between Monday and Friday, 7 AM to 6 PM.
   
   We will contact you to let you know we have received your request. Please kindly let us know if you end up cancelling your cleanup by calling 757-933-2311.
   
   Thank you for your efforts to help keep Newport News clean and beautiful!
4. Your Name*
6. Your Phone Number*
7. Your Email*
9. Adopting Person or Group Name*
11. Adopted Spot*
13. Date of Scheduled Cleanup*
    Date of Scheduled Cleanup
14. Date You Would Like to Pick Up Supplies*
    Date You Would Like to Pick Up Supplies
    Monday - Friday, 7 AM - 6 PM
16. Expected Number of Participants*
18. Comments
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field