Community Members Survey
Full Name:
Mail
Telephone
Date
Age:
Are you environmentally concious?
Are you a greenpeace follower?
Tell us abouut a time that you were part of one of our organization's activities
Environmentally responsible activities I have done most
Beach Cleanup
Recycling
No single use bottles
No plastic bags
Most pollutant material:
Oil
Batteries
Salt
Clhoride
Color of our logo:
