Funder Commitment on Climate Change
This form is designed for charitable foundations who wish to sign the Funder Commitment on Climate Change.
http://fundercommitmentclimatechange.org
By completing this form, you are signing the Commitment on behalf of the charitable foundation named below, and confirming that you have authority to do so. You also give permission for the name of the organisation to be listed on the Funder Commitment website, and to be mentioned in other communications and publicity material. If you have any queries or concerns, please email
contact@fundercommitmentclimatechange.org
* Required
Email address
*
Your email
Name of organisation (as you would like it to appear in any publicity)
*
Your answer
Your name (this will not be made public)
*
Your answer
Date
*
MM
/
DD
/
YYYY
Would you / your organisation be willing to be actively involved in publicity around the Commitment?
*
Yes
No
Maybe
Press / media contact name at your organisation (if not you)
Your answer
Press / media contact email
Your answer
Press / media contact phone
Your answer
I give consent for these details to be held by the secretariat, in order to administer and develop the Funder Commitment. I understand that the secretariat function, currently held by Nick Perks, may be transferred to another organisation, along with information on signatories including contact details
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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