PUEBLO'S ENERGY CHALLENGE SIGN-UP

Please use this form to sign up for Pueblo's Energy Challenge. The Pueblo County Energy Coordinator will use this information to assist you in identifying energy saving opportunities.

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* 1. Business/Organization Name:

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* 2. Business/Organization Location:

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* 3. Business/Organization Owner/Manager Name:

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* 4. Business/Organization Owner/Manager Telephone:

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* 5. Business/Organization Owner/Manager Email:

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* 6. What is your relationship with you building(s)?

Rent

Own

Other (please specify)

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* 7. Approximate building age:

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* 8. Number of employees:

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* 9. I have dedicated staff for facility management and operations:

Yes

Other (please specify)

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* 10. How many total square feet are the buildings that you utilize/own?

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* 11. Who is your electricity provider?

Black Hills Energy (BHE)

San Isabel Electric Association (SIEA)

Other (please specify)

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* 12. Please check all that apply:

I have upgraded lighting in my building in the past 5 years

I have had an energy audit performed on my building in the past 10 years

I am familiar with Colorado Property Assessed Clean Energy (CPACE)

I am familiar with the local utility programs that apply to commercial businesses and organizations

PUEBLO'S ENERGY CHALLENGE SIGN-UP

Question Title

* 1. Business/Organization Name:

Question Title

* 2. Business/Organization Location:

Question Title

* 3. Business/Organization Owner/Manager Name:

Question Title

* 4. Business/Organization Owner/Manager Telephone:

Question Title

* 5. Business/Organization Owner/Manager Email:

Question Title

* 6. What is your relationship with you building(s)?

Question Title

* 7. Approximate building age:

Question Title

* 8. Number of employees:

Question Title

* 9. I have dedicated staff for facility management and operations:

Question Title

* 10. How many total square feet are the buildings that you utilize/own?

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* 11. Who is your electricity provider?

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* 12. Please check all that apply:

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* 13. Comments: