Climate Care Information Form
* required information
Contact
Contact Information
Please join our Climate Care network or sign up for more information. Simply complete the form below. Be sure to identify your faith organization and provide the contact information for you, NOT your faith organization, unless that is the best way for us to stay in touch. Questions? Email info@meipl.org
First Name:
*
Last Name:
*
What is your faith community name?:
Address Line 1:
*
Address Line 2:
City:
*
State:
*
-- please make a selection --
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
F.S. Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Not in USA
ZIP/Postal Code:
*
Email:
*
Phone:
I am interested in workshops hosted by Maine Interfaith power & Light:
yes
no
I would like to host a workshop at my faith community:
yes
no
Please contact me with info on becoming board member:
yes
no
Please check all the topics that interest you in general or for a workshop:
Energy Audits: how to conduct one
Energy Efficient products: info & offers
Clean Power: wind & solar
Global Warming: the facts & what to do
Starting an environmental care group
Energy & environmental advocacy
What other faith groups are doing about global warming and saving energy
Other topics which interest me:
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