Fix It Clinic Coach Registration - New Mexico Recycling Coalition

Name*

First Last

Email*

Phone

Address*

State / Province / Region ZIP / Postal Code

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.