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Supply Request Form
(Have you submitted the required Cleanup/Beautification Form yet?)
Your credit card information is requested!
All bellow items (except garbage bags) must be returned, including gloves and vests.
An invoice will be issued for any d
amaged or missing tools, and the amount will be deducted from the credit card.
KHB will discard the credit card information after tools are returned.
*
Indicates required field
Name
*
First
Last
Credit Card Information
*
MC
VISA
AMEX
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Credit Card Number
*
Expiration Date and Security number
*
By checking the box below you agree:
- To use tools for a community beautification project, cleanup, improvement and/or maintenance project
- To pick up and return tools to the KHB warehouse in a timely manner
- To store the tools in a secure location, protected from the weather
- To be financially responsible for any missing or damaged tools (other than normal wear and tear)
In consideration of borrowing and/or using equipment belonging to Keep Houston Beautiful, the group agrees to acknowledge Keep Houston Beautiful as a participant in any activity in which the equipment of Keep Houston Beautiful is used in any publication in which the activity is mentioned or discussed—including but not limited to company newsletters, press releases, and online social media and blog entries—in clear written form. Keep Houston Beautiful prefers that any such publication also include Keep Houston Beautiful’s logo, available for download :
khb_one_shared_brand_logo.jpg
Check the box below to accept these terms.
*
I agree.
Contact Person
*
First
Last
Organization
*
Pick-up date
*
Mobile Number
*
Cleanup date
*
Email
*
Supplies Assigned and Returned
(please indicate numerical amount of items requesting)
Trash Bags
*
Waiver Forms
*
Vests
*
Gloves
*
Orange Cones
*
Litter Grabbers
*
Hand Claw
*
Garden Rake
*
Heavy Metal Rake
*
Small Hand Trowel
*
Wheelbarrow
*
Push Brooms
*
Debris Shovel
*
Long Nose Shovel
*
Regular Shovel
*
Square Head Shovel
*
Swing Blade
*
Hand Saw
*
Loppers
*
Pitch Fork
*
24' Big Wheel Mower
*
21' Small Mower
*
Weedeater
*
Weedeater Trim Cord
*
Weedeater Oil/Gas Mix
*
Goggles
*
Gas Can - citizen fill up
*
Long Scrappers
*
Square Head Hoe
*
Hedge Trimmer
*
5 Gallon Cooler
*
10 Gallon Cooler
*
Ice Chest
*
Post Hole Digger
*
Tables (3)
*
Ladders (2)
*
First Aid Kit
*
Recycling Bin
*
Keep Houston Beautiful Sign
*
Other/Comments
*
Keep Houston Beautiful @ Environmental Service Center, 5614 Neches, 713-805-4953 or KHB office: 713-839-8855; Fax: 713-839-8880
Submit
Home
About Us
News & Updates
Contact Us
Get Involved
Volunteer
Membership
Corporate Sponsorship
Internships
Adoption Programs
Events
KHB Day
Mayor's Proud Partner Awards
Education
Recycle
Community Resources
Literature Library
Recycle Right