Name *

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Email *

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Address

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Town

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City

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Region

: Birmingham Coventry Dudley Herefordshire Sandwell Shropshire Solihull Staffordshire Stoke-on-Trent Telford and Wrekin Walsall Warwickshire Wolverhampton Worcestershire

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I pledge to :

Please select at least one of the following

Use Public transport rather than car

Cycle

Turn off/reduce electric use

Turn heating down

Replace lightbulbs for energy efficient bulbs

Install Solar Technology

Install Loft/cavity Wall insulation

Reduce Water use

Recycle

No specific area just a commitment

Climate-Central may contact me occasionally with useful and relevant information on saving money and potential grant schemes that may benefit me.