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User Information
Name

First Name Last Name
Organization (if applicable)
Email / Phone / WhatsApp (phone number) / Signal (phone number) / Skype (skype name)
Checking here will give us your permission to list your name on our thank you page. If you don't check this box your personal data will remain confidential.

Site Information
City / Country of site

Street Address

Street Address Line 2

City

Country
Address or cross streets near site *
How to get latitude and longitude of the site location

Open https://maps.google.com and find the location of the site with your pointer on the map and right click. This will bring up a menu with several options. Att the top of the menu highlighted in red there should be two numbers that are 7 digits long (e.g. 47.55980, 7.586737). Clicking those numbers will automatically copy the numbers to your clipboard to easily paste afterwards.

You can also find the latitude and longitude of the site by downloading and using the following mobile apps and recording the latitude and longitude while you are at the site:
- Apple iOS: My GPS Coordinates
- Android: GPS Coordinates
Latitude and longitude of site *
Date of last visit

Month Day Year
Date
Type of site

Informal Privately owned Government
Site Description - Types of waste observed, likely source of waste, and how the site was viewed
Upload images / videos of the site

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