|
Contact Details |
Answer (please circle your
preference) |
|
Please give full details to
enable us to stay in contact (N.B. This information
will be shared with the Community Council of Staffordshire, Friars Mill,
Friars Terrace, Stafford ST17 4DX Charity Registration No: 1046364) |
Your Name: Telephone number: Email: Post to Address: Post Code: |
|
Support for activities |
Answer (please circle your
preference) |
|
Are you willing to volunteer
some of your time to Sustainable Staffordshire to encourage people to
consider and help them to adopt more sustainable lifestyles? |
Yes/No Your Comments: |
|
If ‘Yes’, would you prefer
to: Attend future events Help with administration Offer technical advice or
share your practical experience at ‘Green Roadshows’
or other local public events in Staffordshire Learn how to be a
‘Community Champion’ by joining a free ‘Every Action Counts’ course (which
includes two sessions) |
Yes/No Yes/No Yes/No Please circle if you have
expertise to share about: General lifestyle: Energy
efficiency; Renewables; Cutting consumption; Waste
minimisation Yes/No (Please complete ‘Contact
Details’ to receive information on forthcoming sessions organised by the
Community Council of Staffordshire) |
|
Financial support |
Answer (please circle your
preference) |
|
Would you be able to make
a small financial contribution to support the work of Sustainable
Staffordshire in the future? |
Yes/No Your Comments: |
|
Please return this
questionnaire to Thank you for your time. |
|
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