PLEASE COMPLETE THIS FORM TO JOIN
THE CAPITAL DISTRICT CLEAN COMMUNITIES COALITION

There are several Clean Cities Coalitions in NYS.  Please join the coalition that suits your geographic location.  The CDCC meets in Albany and serves Albany, Rensselaer, Saratoga, Schenectady, Fulton, Montgomery, Schoharie, Otsego, Greene, Columbia, Warren and Washington Counties.  For a list of NYS coalitions, click here.

1. NAME:

2. AFFILIATION:

3. TITLE:

4. EMAIL ADDRESS:

5. MAILING ADDRESS:

6. PHONE NUMBER:

7. I WANT TO JOIN THE CDCC:     YES 

8. I AGREE WITH THE GOALS AND OBJECTIVES OF THE CDCC and WANT TO "SIGN"
the Memorandum of Understanding:     YES 
 

Please note: You must agree with the goals and objectives of the CDCC to become a member.  Please read the MOU for more information.  Once you hit "submit", you will have effectively "signed" the MOU.