Pledge

About me

Please answer these questions to help us assess the impact of your pledges on CO2 emissions, better target our efforts and make a stronger case to potential funders of AfSL

Type of house I live in:

I eat local food:

I commute by car:

I fly more than once per yer:

Number of adults living in my house:

Include yourself if you are an adult

Number of children living in my house:

Include yourself if you are a child

Pledges

I pledge to take the following actions so that I can live more sustainably:

Turn my heating down by 1'C:

Recycle everything I can:

Install a low flush device in my toilet:

Reduce the food I waste:

Reduce my shopping associated car mileage:

Shop locally in non-chain stores:

Eat in restaurants and cafes that sell fair trade:

Stop flying in the UK:

Encourage two other people to pledge:

More pledges you can make

If you're already doing most of the actions above, take up our challenge and see if you can win an AfSL award!

Bronze award

Ring the Energy Saving Trust about installing energy efficiency measures in my home - 0800 512 012:

Take a re-usable bag to the shops with me:

Buy more fairly traded products:

Use public transport or cycle for journeys under 3 miles:

Choose electricity free ways to exercise eg jog outside:

Buy less stuff (do I really need to buy it?):

Take 5 minute showers rather than taking a bath:

Go vegetarian at least one day per week:

Volunteer with AfSL:

Silver award

Change to a Greener electricity supplier:

Keep my mobile phone rather than replacing it each year:

Buy my clothes from ethical companies:

Travel by train for longer distance journeys:

Choose eco-friendly holiday & leisure activity providers:

Join the local library and use Freecycle:

Drink tap water instead of bottled mineral water:

Buy locally sourced and/or organic food where possible:

Get involved with a local project:

Gold award

Generate my own energy through installing solar panels, a wind turbine etc:

Set up a local swap-shop:

Switch to an ethical bank account:

Join a car sharing scheme:

Take my holiday in the UK rather than abroad:

Buy eco-friendly products, e.g. Nappies, cleaning products, IT:

Install a water meter:

Grow some/more of my own food:

Set up a local action group:

Any other pledges not listed above:

First name:

Last name:

Address:

Postcode:

Telephone:

Email:

Your email address

Further contact:

I would not like AfSL to contact me to support me in putting my pledges into action

AfSL use only

Date of pledge:

Mode of contact:

Notes:

Pledge collected by:

Data keyed in by:

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Action for Sustainable Living, St Wilfrid's Enterprise Centre, Royce Road, Hulme, Manchester, M15 5BJ
Tel: 0845 634 4510 / 0161 227 0377 / 0161 660 2264 (Sipgate 660 2264) Fax: 0705 360 7115 Charity Number: 1114055

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