Normal text
Precious Time - make things happen and feel less
lonely
Pledge an action
1.
Name
2.
Organisation (if you are pledging as a member or worker from an organisation)
3.
Contact phone number
4.
E-mail
My pledge:
5.
What I am pledging to do and why it is important?
6.
How am I going to make this happen? What steps will I take?
7.
When will I take them by?
8.
What help or support do I need for this action to happen?
9.
What will be different or change once I have carried out these actions?
10.
Date
11.
I agree for my pledge to be included in the South Gloucestershire Precious Time Website
Yes
No
12.
Signed
Thank you for taking the time to make your pledge.
Page 1/1