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Bergen County Clean Communities Clean Up Mini-Grant Application

  1. Please provide organization name as it would appear on grant check. Organization must be non-profit.

  2. Environmental group, school group, church group, scouting, etc.

  3. 123-456-7890

  4. Photographs can be provided but are not required

  5. Leave This Blank:

  6. This field is not part of the form submission.