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2. Forms may not function properly if using Microsoft Internet Explorer 9 (IE9) or earlier. If you experience issues, please call 561-697-2700.
   
   Are you interested in forming an Adopt-A-Spot Group? Simply fill out the online registration form and we will contact you. For more information on the SWA's litter abatement and community service programs, contact Customer Information Services at 561-697-2700 or 866-SWA-INFO (866-792-4636) toll-free from western and southern Palm Beach County.
4. Name
6. Address
8. City
9. State
10. Zip
12. Home Phone
13. Work Phone
15. Email*
17. Do you volunteer for other organizations?

    1. Yes
    2. No
19. Yes, for whom?
21. What do you do?
23. What community service activities are you interested in?

    1. Adopt-A-Spot
    2. Neighborhood Cleanup
    3. Paint Your Heart Out
    4. Rebuilding Together of the Palm Beaches
    5. Other
25. If other, what are you interested in?
27. Thank you for your interest in the SWA's Adopt-A-Spot and community service programs. We will contact you to explain more about our program and to begin the application process.
    
    Notice
    Florida law requires that we post the following statement:
    
    "Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing."
    
    The Solid Waste Authority regrets any inconvenience this may cause.
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field