Submit Your cleanup event Group DetailsGroup Name(Required) Event Contact Person First Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) Street Address City ZIP / Postal Code Event InformationEvent Type(Required) Litter Cleanup Community Beautification Education Recycling Event DetailsEvent Name(Required) Event Website How many years have you held events?(Required)Estimated # of Volunteers(Required)When is Your EventStarting Date(Required) MM slash DD slash YYYY Starting Time(Required) Hours : Minutes AM PM AM/PM How long is your event?Days(Required)Please enter a number from 0 to 100.Hours(Required)Please enter a number from 0 to 24.Minutes(Required)Please enter a number from 0 to 60.Where is Your EventEvent Address(Required) Street Address City ZIP / Postal Code Is your event on any public use land (state park, state forest, wildlife area, local park, waterway, open public space)? Yes No Is this a private event? Yes No The New Mexico Department of Transportation has limited supplies available for cleanup events. Do you need supplies for your event such as trash bags and/or gloves?(Required) Yes No If your event is 3 weeks or later away, let us know if you’d like clean-up supplies that can contribute to your event, to include up to 50-33 lb. trash bags and 100 pairs of disposable gloves.Data is crucial to the success of the Breaking Bad Habits. Do you agree to complete the data collection form that will be sent to you, after your event, that will ask for information on number of participants, man hours worked, number of trash bags collected, etc..(Required) Yes, I will submit the data after my event No, I will submit the data after my event Notes for your EventCAPTCHA
