pollution

Please fill out the form below if you have cancelled a balloon release event.
Name of Cancelled Event:
Organisation:
Contact name for cancelled event:
Address:
Email:
Phone:
Cancelled event place:
Cancelled event Date:
Number of balloons that would have been released:

Please tick if you did any of the following instead of the balloon release
Prize balloon popping
Guess the number of balloons
Balloon art
Balloon relay
Other

Any further comments:

Are you an MCS member?
MCS may wish to contact you about MCS campaigns and appeals. If you would prefer NOT to be contacted, please tick the box

.

Please enter code above (CASE SENSITIVE, NO spaces):



PLEASE NOTE: INCORRECT CODES MAY RESULT IN LOSS OF ANY INPUTTED DATA.
PLEASE INPUT CAREFULLY.