Kesho Tutachelewa Pledge Form | Fomu ya ahadi

English Form Swahili Form

Please select all that apply*
- I pledge to support my friends and community to plant more trees
- I pledge to support my friends and community to use more sustainable sources of energy (e.g. gas)
Name*
First Last
Age*
Region*
Email*
Phone Number*
Please select:*
- I am happy for the Raleigh Tanzania Society to contact me by phone or email to tell me about campaign action
- I do not want the Raleigh Tanzania Society to contact me by phone or email

Tafadhali chagua kile ambacho utaweza saidia nacho:*
- Nina ahidi kujitolea kusaidia rafiki zangu na jamii yangu kwa ujumla kupanda miti zaidi
- Nina ahidi kujitolea kusaidia rafiki zangu na jamii yangu kutumia nishati mbadala na endelevu kwenye kupikia , mfano matumizi ya gesi.
Jina*
Kwanza Mwisho
Umri*
Mkoa*
Barua pepe/Emaili*
Namba ya simu*
Tafadhali chagua*
- Niko tayari Raleigh Tanzania Society kunitafuta kwa njia ya simu au barua pepe kunielezea kuhusu shughuli za kampeni hii
- Siko tayari Raleigh Tanzania Society kunitafuta kwa njia ya simu wala barua pepe