To be added to the GreenDex

Please fill out this form completely and accurately, then submit it to Auldhaefen for processing. Only those that can be verified as being "green" will be added to the index.

Contact Information:


     Your Name: 
  Company Name: 
Street Address: 
          City: 
         State: 
      ZIP Code: 
 Current email: 
  Phone Number:

Category: Maximum of two categories may be chosen


Business Services	non-profit services	Financial Services	Green Investing	Food / Edibles	Green Gifts
Home Supplies	Office Supplies	Personal Care	Publications	Recycling	Other

If none of the above fit your situation, please use the following.
Additional/Other Categories:

Title:
URL:

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Document revision: 16 Sept 1996

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