Water Contribution

Let's grab some details to get your action on the record
This form should be super simple and take no more than five minutes.

Remember, you own the data that you record on the East Coast Exchange and any data that will be publically displayed will have a 'Public' label below the field.
This action is being taken by:

Individual householdOrganisation
Organisation
Public
Contact person*

Public
Email*
Phone number*
Are you doing this form for someone else?

YesNo
Record your name

First NameLast Name
Record your phone number
Yes, I have their consent to record this information`

YesNo - please get their consent before continuing

Tell us about the action you've taken
What action have you taken?
Briefly describe it
Public. Please include details for example the specific actions to conserve water in your business or household and/or the equipment being used to store and share water, whether the water is treated / untreated and if you needed any expert help.
Date your started taking action

MonthDayYear
Public
This is a
Location of this action
Does this contribution increase water resilience on Whenua Māori?

YesNoI don't know
Location of this action
What is the source of this water?

RainwaterBoreRiver takeTown supplyOther
How many litres of water can your storage solution hold?
How many litres of water have you shared in this period?
What was the financial cost of this action?
This could include supplies, equipment / services costs or lost revenue

How would you like this to show up on the record?
I would like to

Earn Action Points that could be eligible for Programme funding.Donate any Action Points I get back to the community effort.
How you price your contribution in Action Points is totally up to you!

1 point = 1 NZD but funding isn't guaranteed.

You may want to think about how how much it cost you to take this action in terms of time / equipment / supplies or the impact you are creating.

Note it will be publically visible. It might be helpful to check out the record to see how others have priced their actions.
How many Action Points do you want to earn/donate?
Record any notes about how your arrived at these Action Point values

Let's capture some quick info so we can verify this
Your points are only earned or donated if your actions can be verified so please supply high-quality evidence below
Upload photos of you taking this action

Please ensure location services are turned on when taking the photo so the location can be verified.
Cancelof
Upload any other relevant info e.g. invoices

Cancelof
Record the name of someone who can verify your actions

First NameLast Name
Record their phone number

I have read and agreed to the Exchange Rules.I understand that this is not an offer of employment. I am volunteering my time and I do not expect to receive a reward in return.I understand there is no guarantee that I will receive any Programme funds at any time or that my donated points will be funded.
View the East Coast Exchange rules here.
Should be Empty:

Let's grab some details to get your action on the record