Citywide Cleanup Pop-Up Event Request Thank you for inquiring about an official Citywide Cleanup pop-up event. Please fill out the form below, and an Anchorage Chamber staff member will follow up with you within 1-2 business days. Name of Company/Organization * Primary Contact's Name * Primary Contact's Email Address * Primary Contact's Phone Number * Pop-Up Location Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code Are you an Anchorage Chamber member? * Yes No Not sure The Details Requested Date & Time of Event * Please include both a start and end time. How many cleanup bags do you need? * Please include the logo you would like to appear in advertisements. Please include any other photos, flyers, etc. for marketing Directions/parking instructions * Will you be giving away special promos and/or door prizes? * Will you be needing an additional dumpster for orange bag disposal? * Yes No By completing and submitting this form you agree to the terms and conditions stated in the above description. * I agree to the terms and conditions in the above description