Join the Campaign

Please complete the form below to provide us with your contact information.  You'll be added to our website as one of our Clean Hands Partners, and we'll keep you updated on the latest information and tools for promoting clean hands in our community.  We will also send you a window sign and five bathroom clings when you register.

Name

Organization

Address1

Address2

City

State

ZIP

Phone

Email

Website

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Happy group with clean hands