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* 1. Name (First & Last):

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* 2. Email:

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* 3. Community, School District, or Organization (Please provide an address):

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* 4. Do you need refills on dog waste bags? (November 2022 Note: Dog waste bags are currently on back order from our supplier. We expect to have more in early 2023, but will note your needs from this survey. We apologize for any inconvenience). 

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* 5. Do you need refills on stormwater tip cards?'

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* 6. Someone from my community or organization can pick them up from the CRWC office.

CRWC will follow up with you after you submit your survey response. Please feel free to call or email Pronoye Kapali, CRWC Watershed Program Specialist, if you have any questions. // (248)601-0606 ext 27 or pronoye@crwc.org

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