CleanScapes Volunteers Restore Nature’s Beauty

Cleaning up Clinton & Lycoming County Landscapes & Waterways Since 2000

2020 ANNUAL EVENT SPONSOR & MEMBERSHIP FORM: GOAL $15,500

Check all that apply, make check payable to Clinton County CleanScapes & return this form to:

Clinton County CleanScapes, PO Box 304, Mill Hall, PA 17751

_____Student Support (available to all enrolled adult students) $ 5.00

_____Individual and Family Membership $ 15.00

_____Local Government/Organization Membership $ 25.00

_____Business Membership $ 50.00

_____Additional Contribution ($5-99) $______________

_____2020 Event Sponsor ($100-1,000+) $______________

Total 2020 amount enclosed with this form $______________

_____Email me future clean-up event schedules! _____Remove my postal address from future mailings.

Email: ________________________________________________________________________________________

Name: ________________________________________________________________________________________

Mailing Address: _______________________________________________________________________________

____________________________________________________Phone (optional): ___________________________

Your personal contact information will be used strictly by CleanScapes and will not be shared. web/20

Clinton County CleanScapes is a nonprofit, tax-exempt 501(c)(3), EIN 16-1746268. Donations are tax-deductible.

Your support invested locally. Thank you.

2019 $100+ Event Sponsors: Clinton County Community Foundation, Foundation for Pennsylvania Watersheds,

Avery Dennison, Bald Eagle Township, Dr.’s Boland and Reid, Elizabeth Brobst, Cummings Township, Susan and James

Dolan, First Quality, Greene Township, Sandy and Toby Johnson, Betty and Dr. Lester Kleckner, Judith and Thomas

Leidy, Lloyd Wilson Trout Unlimited Chapter 224, Loyalsock Creek Watershed Association, Sofia Luckenbill and Kyle

Root, Brenda and Don Lysle, Pine Creek Preservation Association, Pine Creek Township, Sons of Italy Lodge 146,

Solvay, and Workman Masonry. Partners: Boob and Day Families, Clinton County Economic Partnership, Lock Haven

University, PA Fish and Boat Commission, Solvay, Sunken Treasure Scuba Center, Susquehanna Greenway Partnership,

and Wayne Township. Services and Discounts: A-1 Portable Toilets, City of Williamsport, Clinton County

Commissioners and GIS Dept., Curt’s Smokin’ Ribs, Great American Cleanup, Keep Pennsylvania Beautiful, Long Island

Pizza, Staiman Recycling, Wayne Twp. Landfill/Solid Waste Authority, PennDOT Dist. 2, and Weis Markets of Mill Hall.