Company Registration

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First Name

Last Name

Email - This will serve as your username

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Password

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Use only letters and numbers. Must be between 6 and 20 characters long.

Company Information

Company Name

Company Website Address

Address

Address 2

City

State

Zip Code

Company Phone

Toll Free Phone

Company Fax

Use this format 555-555-5555

Parent Company (if applicable)   Parent Company State (if applicable)

Company Description

Company Size (# of employees) --Select-- 1-2 3-5 6-10 11-25 26-50 51-100 101- 250 251-500 501-1000 1001-2500 2501-5000 5000+ Don't Know

Market Focus Residential Commercial Wholesale

Market Scope --Select One-- Local Statewide Regional National International

Please give a brief description of your company and the major line(s) of products and/or services you offer. This description will be used as part of your company profile which will be posted publicly on our green building materials and services directory website. Feel free to cut and paste from your own website or company literature materials.

Please limit response to 1000 characters or less.

Please feel free to submit a brief statement describing your company’s commitment to the environment.

Please limit response to 1000 characters or less.

Does your company currently employ LEED Accredited Professionals?

Yes No   If yes, how many? --Select-- 1-5 6-10 11-15 16-20 21-50 55-100 101+

Memberships and Affiliations

Please list industry associations and/or organizations, national, regional or local that your company belongs to or is a member of.

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