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Calendar | General Liability Release

Alliant Energy's Cedar River Cleanup

 
 

PLEASE PRINT THE GENERAL LIABILITY RELEASE FORM ABOVE
READ, SIGN AND BRING TO THE EVENT TO VOLUNTEER

(If you do not have access to a printer, we will have forms available at the cleanup site.)

On-line Registration form for Alliant Energy's Cedar River Cleanup
Please fill out and submit the form below. We will contact you via the email address you list, unless otherwise noted.

Please fill out and submit the form below.  We will contact you via the email address you list, unless otherwise noted.  You will receive an email to verify that we have received your registration.  Please note this event is only open to Alliant Energy employees. 

*Denotes a required field.

*Name:
*Email:
Alternate Email:
*Address:
*City:
*State:
*Zip:
*Primary Phone:
Secondary Phone:
Work Phone:
*Cleanup Dates:
To select multiple dates hold the CTRL key down while making your selection.
Group Leader:
 
   

 

FOR MORE INFORMATION:

Tammy Becker
tammy@livinglandsandwaters.org
(309) 236-0725-CELL

 

 
 

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