Case Card Template – Submit an Issue

Are you worried about an environmental issue? 

Fill in the form below!

We will use the information provided to create a case card and example letter that will be published online and distributed in letter writing kits to local cafes.

Fill in the form and then submit. You can also save the form to complete later (scroll to the bottom to do this).

Email
Identify the issue you are concerned about
Explain why this issue is a concern – link the issue to impacts on the environment / community.
Who would you like to receive the letter (for example - an NT or Federal Minister or company)
What do you want the recipient of the letter to do?
If you would like particular images included on the case card please upload here. If not our administrator will source the images.
Drop files here or
Max. file size: 5 MB, Max. files: 3.
    All claims and images must be referenced. These references will be cross checked by our administrator. Please ensure images do not breach copyright.
    Confidentiality(Required)
    Please indicate if you would like your name credited on the published case card.
    If you wish to remain anonymous your name will not appear on the published case card.
    If you are an organisation please attach your logo for inclusion in publication
    Max. file size: 5 MB.