First Name:

Email Address:

1. Name
   
2. Plant Name
   
3. Plant Address
   
4. Plant City
   
5. Plant State
   
6. Plant Zip
   
7. Phone
   
8. Website
   
9. Email
   
   
   

Do you currently promote yourself as a GREEN* cleaner? --- Yes No

What, if any, is the focus of your green promotions?
(ex. wetcleaning, hanger recycling, alternative energy, etc.)

The information furnished with this application will be used to both accumulate and detract eco-points.  Total number of ‘eco-points’ earned determines the number of eco-leaves awarded and demonstrates the environmental sustainability of your business.

* See the Federal Trade Commission and National Association of Attorneys General green marketing guidance documents. 

This is page one of a six-page application. To receive complete application, please make sure this form is filled out completely and click "submit" below.