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Mahone Islands Conservation Association
Shoreline Cleanup Data Card

Please fill out this form
Cleanup Location

Shoreline/Beach ___

Underwater ___

Location _________________________________________________________

Date of Cleanup __________________________ Number of Helpers __________

Items Collected (approximate #)

Bags _____       Bait Containers _____

Beverage Bottles _____       Bleach/Cleaner Bottles _____

Beverage Cans _____       Buoys/Floats _____

Clothing Caps _____       Crates _____

Clothing Shirts _____       Fishing Line _____

Clothing Shoes _____       Fishing Nets _____

Cups/Plates/Utensils _____       Oil/Lube Bottles _____

6 or 8 pack Holders _____       Rope _____

Shotgun Shells _____       Cigarette Lighters _____

Toys _____       Building Materials _____

Other Items _________________________________________________

You may mail this completed form to the address below or fill in our online Cleanup Data Card at www.mahoneislands.ns.ca and submit the form electronically.

Mailing address:
MICA
189 Hirtle Cove Road, Oakland
Mahone Bay B0J 2E0
Canada