I am a ... *
I pledge to take action by lowering my heating and air conditioning usage when possible. If prompted, I will report my actions at the end of the month to enter to win a grand prize! *
I also pledge to part take in Meatless Monday this week to further cut back my energy use.
If you are a teacher and will be completing this challenge with your students please share an estimated number of participating students:
Your answer
If you pledged yes and are one of our most active energy action heroes, you may have the opportunity to WIN! Please provide your email below if you would like to be entered in the prize drawing. *Restrictions may apply
Your answer
*Shipping to US, Canada, and Mexico only - Other international winners will be provided an alternate prize. If you are under 18 years of age, be sure to get a guardian's permission when providing your contact information.
Never submit passwords through Google Forms.
This form was created inside of The Energy Coalition. Report Abuse - Terms of Service - Additional Terms