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2. Thank you for volunteering! Take 60 seconds to make Silver City a cleaner, better place! Just tell us about yourself and where you’d like to attack litter. A representative of the Town will contact you will all the details!
4. First Name*
5. Last Name*
6. Email*
   We do not share your email address with others.
8. Address*
10. City*
11. State*
12. Zip Code*
14. Tell us where you'd like to clean.
16. How often can you help out?

    1. Weekly
    2. Twice a Month
    3. Monthly
    4. Another Interval
17. Zone
18. Interval
20. Do you have other comments or questions?
22. Your privacy matters! The Town of Silver City maintains this contact information exclusively for the Pick It Up and Toss No Mas program. You may request that the Town remove your personal information from the Toss No Mas campaign at any time by emailing the Town Clerk.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field