Partner Commitment Form

To qualify as a Green Suppliers Network Partner your company must:

Be a manufacturer.
Undergo a technical review at a facility located in the United States.

The following errors must be resolved to submit this form:

My manufacturing company qualifies and is ready to join the Green Suppliers Network. As a Partner, we commit to:

Participating in a confidential Green Suppliers Network review.
Implementing recommended environmental improvements, as appropriate.
Completing a NIST MEP follow-up survey one year after the review to measure results.

Fields denoted with * are required.

* First Name: * Last Name:

Title: * Company Name:

* Address Line 1: * City:

Address Line 2: * State:

* Phone Number: * Zip:

* E-mail Address:

* Where is the facility at which you would like a technical review to be conducted (e.g., city and state)?

* Which industry sector do you supply (e.g., Automotive, Aerospace, Healthcare/Pharmaceutical, Office Furniture)?

* What are your major product lines (e.g., automotive parts, furniture components, utility poles)?

* How did you hear about us?

If you were nominated by a Corporate Champion, please provide contact information.

I am the Corporate Champion nominator.

First Name: Last Name:

Company Name: Phone Number:

E-mail Address:

* The Green Suppliers Network [may/may not] use my company name and location on the Green Suppliers Network website and other program materials. No other company information will be distributed without permission.

Yes
No