Fund Community Energy Campaign Survey
If you are involved with a local group, what is its name?
Your answer
What state are you in?
What electorate are you based in? (if known)
Your answer
Are you based in any of the following electorates?
Which of the following ways could think you/your local group can help?
Check as many as apply
If you have a story that might be good for local (or national media) please let us know a few key details here and we'll be in touch.
Your answer
Do you have any other skills or abilities you might be able to contribute? (web/graphic design, organising/outreach, volunteer time)
Your answer
Any other comments or feedback?
Your answer
What is your name?
Your answer
What is your email?
Your answer
What is your phone number?
Your answer
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