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Palm Springs Personal Environmental Pledge

Please either print this form from your web browser before submitting, or choose to send the completed pledge to yourself at the end of the form.  Post it somewhere prominent for a reminder. Please complete and submit the form, including your neighborhood so we can track the number of people responding! Thanks for participating 

Please correct the field(s) marked in red below:

1

Reduce, Reuse, and Refill 

I pledge to:

Reduce, Reuse, and Refill I pledge to:
2

Recycle Right 

I pledge to:

Recycle Right I pledge to:
3

Fight Climate Change

I pledge to:

Fight Climate Change I pledge to:
4

Use Less Water

I pledge to:

Use Less Water I pledge to:
5

Prevent Litter

I pledge to:

Prevent Litter I pledge to:
6
Please enter your name here so you can print it on your pledge:
7
What Neighborhood do you live in?
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  1. To receive a copy of your submission, please fill out your email address below and submit.