Barnegat Bay Blitz Pledge - Friday, June 8, 2018

We Pledge to:

Be part of the Clean Up Effort on June 8^th by:

YESNO    Provide 1-5 6-10 11-15 16-20 21-30 31-40 41-50 50 + 0 volunteers to help clean up at a location of our
                choosing.

YESNO    Provide 1-5 6-10 11-15 16-20 21-30 31-40 41-50 50 + 0 volunteers to participate in our Town’s Community
                Cleanup Event. (Locations to be determined)

YESNO    Promote the Blitz at my local organization, school or business.
                (Please contact me about various promotional materials.)

Name of Township:       

Contact Information

Volunteer Type:    Individual Non Profit Organization Group Business Group Community Group Scout Group School Group Church Group Other ---------------------------------------------------------------------

Contact Person:   

Address:               

Email:                   

Phone Number:    

Thank you. Please submit the completed submission form to:


katie.barnett@dep.nj.gov