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* 1. Address

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* 2. In 2016, did you continue to operate your business in an environmentally friendly way in accordance with the standards of the Green Business Program?

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* 3. Is your business

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* 4. If you made new improvements in 2016, please tell us about them. For example, did you install a new high efficiency boiler? Or make weatherization improvements? Or perhaps complete a project to reduce water or energy use? Please include any quantifiable data, if available.

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* 5. Would you be interested in attending a webinar about 

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* 6. Would you be interested in attending a Vermont Green Business Program social event to meet other program members?

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* 7. Do you have an environmental success story that you would like to share with other businesses? We would like display stories on our website, on social media and through press releases. If so, you can include it below or email it to celia.riechel@vermont.gov.

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* 8. Are you in need of assistance with any compliance challenges? Please elaborate below and we will have a compliance assistance specialist contact you. This is confidential and at NO charge to you.

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