PITCH-IN CANADA
Resource Centre

WELCOME to the PITCH-IN CANADA Resource Centre!

Access to the Resource Centre is FREE OF CHARGE. II this your first visit to our site? Register to get a User name and Password to access the Resource Centre.

The user name and password is DIFFERENT than other user names and passwords you may have to access other programs such as PITCH-IN CANADA Week or the ecoActive School Program.

Immediately after you register you will receive the User Name and Password and a confirmation of your registration including the User name and Password will be sent to the e-mail address you supplied.

The information you provide will NOT place you on other mailing lists.

* starred items are required fields

A. WHO ARE YOU? Please tell us if you are browsing our site on behalf of a municipality, school or group

Name * :

E-Mail Address * : The E-Mail Address you specify will be used to confirm the receipt of this information.

Phone Area Code, Number (999-9999) and Local where it exists * :

Position:

Fax Area Code and Fax Number (999-9999) :

Name of School, Municipality or Group *

B. WHERE DO YOU LIVE?

If you live in Canada, in which Province do you live? *
Please complete carefully, we need to know at least the Village, Town or City and Province (Canada) or Country in which you live. Please select Other as the Province if you do not live in Canada.

If you live elsewhere, in which Country do you live? *

Mailing Address :

Village, Town or City*

Postal Code:

C. INFORMATION ABOUT YOUR GROUP

If you are associated with a group please select the category which describes it best.

Educational Institution Youth Group Environmental or Outdoor Group

Business Consumer Community Group Government

Other, please specify below

Other type of Group:

D. OTHER INFORMATION

How did you find out about our Web Site:

Other way in which you found out about the Web Site:

Are you planning an environmental project? *    Yes   No

Do you or your group participate in a recycling program? *    Yes   No

Do you or your group participate in a composting program? *    Yes   No

Do you or your group participate in a clean up and beautification program? *    Yes   No

What are you hoping to find on our Web Site? Any comments that might assist us in improving the Web Site are most appreciated.

Name * :
E-Mail Address * :		The E-Mail Address you specify will be used to confirm the receipt of this information.

Phone Area Code, Number (999-9999) and Local where it exists * :
Position:
Fax Area Code and Fax Number (999-9999) :
Name of School, Municipality or Group *

If you live in Canada, in which Province do you live? *		Please complete carefully, we need to know at least the Village, Town or City and Province (Canada) or Country in which you live. Please select Other as the Province if you do not live in Canada.
If you live elsewhere, in which Country do you live? *

Mailing Address :

Village, Town or City*
Postal Code:

Educational Institution	Youth Group	Environmental or Outdoor Group
Business Consumer	Community Group	Government
Other, please specify below

Are you planning an environmental project? *	Yes No
Do you or your group participate in a recycling program? *	Yes No
Do you or your group participate in a composting program? *	Yes No
Do you or your group participate in a clean up and beautification program? *	Yes No