Entry Form due by May 7, 2007
First Name Last Name
Daytime Phone
Address
City State Zip
My normal commute is miles round trip
Name of Employer/School
Are you under 18 years of age? Yes No

How many 2007 Clean Air Days events did you participate?
How many days did you use the following modes of transportation during Clean Air Days?
Bus
Walk
Bike
Carpool/Vanpool
How many people in carpool?
Clean Fuel Vehicle (CNG, electric, etc.)
Other (Skateboarding/Inline skating)
Telework
Days of Compressed work schedule (4-10s, 9-80s)
How did you learn about the Clean Air Fair?
Between March 31-April 30, I spared or I vow to spare the air by using the alternative modes above
One entry per person please.