Earth Day Outreach Materials Request Form

Please fill out the information below if you are interested in receiving outreach materials for your Earth Day events this year. For additional information, contact Andrea Lamartin (andrea.lamartin@urs.com) or Kenneth Hess (kenneth.hess@navy.mil).

Event Title (ex: NAS Jacksonville Earth Fair):

Event date(s):

Address/location of event(s):

What type of activities will occur during the event (5k run, tree planting, base nature tour, etc)?:

How many people are expected to participate?:

What is the audience type (base personnel, military dependents, local community members , families, etc)?:

How many kids are expected, and what are their age ranges?:

What types of materials are requested/preferred?:

Primary Earth Day point of contact name:

Primary Earth Day point of contact email:

Primary Earth Day point of contact phone number:

Mailing address: