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FY2019-2020 Impact Report
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Green Event Materials Request
Name of Event
*
Event Date
*
Date Format: MM slash DD slash YYYY
Event's Sponsoring Organization
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Rental and Return
Pick-up / Drop-off Locations
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Select one
Deramus – 4707 Deramus Ave. KCMO 64127
South – 5200 E. Red Bridge Rd., KCMO 64137
Pick-up Date - open Wed-Sat only
*
Date Format: MM slash DD slash YYYY
Drop-off Date - open Wed-Sat onlly
*
Date Format: MM slash DD slash YYYY
Order Details
ClearStream Recycling Unit ($3 Each)
ClearStream Recycling Bags ($0.50 Each)
Ripple Glass Home Recycling Bins ($3 Each)
Paper Recycling Bin ($3 Each)
Green Event Planner Contact Information
Name
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Phone
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Email
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Event Information
Event Type
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Sports/Recreational
Charity/Fundraiser
Art Fair
Cleanup
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Neighborhood Event
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Other
Estimated Number of Attendees
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Event Schedule/Hours
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How did you hear about us?
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