Syringe Clean-Up Request                      
THIS IS NOT AN ORDER FORM FOR A KIT

Notice an area in your community that has been littered with syringes? Shoot us some details on where to find it and we will come clean it up, free of charge

You can also simply text our main number to request a clean-up as well! 405-295-5167
Name *
Phone # *
Location of where syringe clean-up is needed  *
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