…and here is the Pledge Submission Form:

Name:

Are you a Coventry, CT resident? YesNo

Phone: (Optional. For Coventry residents, we use this to keep track of the number of households that pledge, and to prevent duel submissions)

We will not release your number to anyone

I/My family pledge(s) to make the following changes (minimum of three):

The following information is optional, but please include at least your state, so we can keep track of how different states are doing:

Address

Email:

Add me to your mailing list

The following information also helps us know how our campaign is going, and to determine what actions work best for what sorts of individuals/families:

Family Size Age

NOTE: the submit function has not been working for some people – if it doesn’t work for you, you can EMAIL your pledge to keepcoventrycool@charter.net – just include your name, whether you’re a Coventry resident, what you pledge to do, and if you can, your address, family size and age, and whether you want to be on the mailing list. THANK YOU!!

ALREADY KEPT YOUR PLEDGE? Please let us know below:

Name and state you live in:

Email or Phone: (optional, but necessary if you live in Coventry and would like a pledge reward)

I/My family have/has already taken the pledge and made the following changes (minimum of three):

Note: The form will not clear when you press submit, and you will not be directed to another page. Please only press SUBMIT once.