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Palm Springs Neighborhood Environmental Challenge

Personal Environmental Pledge Form

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:Please enter your name here so you can print it on your pledge:
7
What Neighborhood do you live in?
 *
8
If you want us to send you a check-in reminder in about a month, please include your email below. Your email will not be used for any other purpose and will not be shared.
  1. To receive a copy of your submission, please fill out your email address below and submit.