Beach Bingo Form

1. Name

First

Last

2. Contact Information (phone number or email)

3. Where did you cleanup litter?

4. What date was your litter cleanup?

5. How many people participated in your cleanup?

cleanup to entered

6. How many bags did you collect?

7. What was the most common item you found?

8. Upload a picture of your completed beach bingo card to be entered to win one of three $50 grocery story gift cards.

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

9. Upload pictures from your cleanup (items found, bags, etc.)

Drag & Drop Files, Choose Files to Upload

10. How did you hear about Beach Bingo?