Fix It Clinic Coach Registration - New Mexico Recycling Coalition

Name*

First Last

Email*

Phone

Address*

State / Province / Region ZIP / Postal Code

Which virtual Fix It Clinic are you available for?

What is your area of expertise in terms of repairs? To select more than one entry hold the "Ctrl" key and highlight all that apply*

Do you have a laptop, tablet or phone, and Internet connection that allows for video conferencing?*

For this virtual clinic we will be hosting the clinic via Zoom.