Mayors' Monarch Pledge Survey

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Thanks for your interest in the Mayors’ Monarch Pledge. Only mayors and local government chief executives or their staff designees may fill out this pledge form. Please complete the pledge form and we will follow up with you in the next week. If you’d like to read the pledge language or FAQ at any time, please go to www.nwf.org/mayorsmonarchpledge. If you have any questions, you can email us at mayorsmonarchpledge@nwf.org

Q.1

Mayor's Name *

If you are not a "mayor," but are a local government chief executive, please enter your name here and share more details about your community in question #7 below.

Title

First Name

Last Name

Q.2

Mayor's Email Address *

Email

Q.3

City or Municipality *

City

State

Q.4

Mayor's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Q.5

Staff Point of Contact Name *

Please provide your professional title in the space below

Title

First Name

Last Name

Q.6

Staff Point of Contact Email *

Email

Q.7

Staff Point of Contact Phone Number *

Phone Number

Q.8

Do You Have Any Questions or Comments?