Name

Address

City, State, Zip

Email

Website (if you have one)

Mark yes to the items you have or will commit to using:

 1)Use of canvas or reusable bags instead of plastic or paper
 2)Use of low flow shower heads in your showers
 3)Use of Energy Star Appliances in your home
 4)Recycle at home and/or office
 5)Shop for products that use recycled materials and/or packaging
 6)Use natural chemical free cleaners, laundry detergent
 7)Walk, jog, ride bike, rollerblade to do nearby errands than driving
 8)Live a vegetarian or vegan lifestyle (or somewhere in between there)
 9)Buy locally
 10)Buy organic

Please type the letters below and hit submit: