MORTAR BOARD | AGATHAI CHAPTER | UNIVERSITY OF CALIFORNIA, LOS ANGELES
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Learning Waste Perch Cycle Bin Request Form
We'd bring a perch cycle bin to you so you can do your part by collecting learning waste at your own convenience.
*
Indicates required field
Name
*
Status within UCLA
*
Faculty
Student living on campus
Student living off campus
Other
If Other please specify:
*
Email
*
Phone Number
*
What size Perch Cycle bin would you like?
*
Small (22cm*8cm*8.4cm)
Medium. (41cm*26cm*25cm)
Larger. Volume depends on availability
Please provide the address of the location in which you'd like to receive a perch cycle bin. (Deliveries will only be made to locations in LA county,). You may state a location on campus.
*
Would you like to donate to our covid-19 relief fund? Read about it by opening this link in a new tab.
*
Yes
No
Submit Request Form
Home
About Us
History
>
History
Fast Facts
Affiliations / Projects
>
Agathai
>
Who We Work With
Who Supports Us
National
National Website
Perch Cycle
COVID-19 Relief Fund
Perch Cycle Bin Request Form
Perch Cycle on Campus Locations
Interviews
Webinar Videos
Members
Current Members
>
2021-2022 Members
Resources
Alumni
>
Former Classes
>
Class of 2019-2020
Class of 2018-2019
Class of 2017-2018
Class of 2016-2017
Honorary Members
Tip-of-the-Hat
Apply
Member Benefits
Application
Scholarships
>
2020 Scholarship Recipients
Give/Contact