Jain declaration endorsement form

First and Last Name *

I endorse JAINA's Climate Declaration *

Yes

Required

May we publish your name? *

First and last name

First name only

I prefer to be anonymous but you can publish my Jain center name

Please keep me and my Jain center completely anonymous

Your Title, if applicable

Your Jain Center *

Your email address (not required and will not be published publicly)

Do you have any comments that you would like to share with us privately?

Do you have any comments that we can publish publicly?