* 1. Please provide your contact information:

* 2. Are you an existing supplier to the battery industry?

* 3. What best describes your organization's role with respect to the battery industry?

* 4. Which battery material/ component do you currently supply? Check all that apply.

* 5. If you believe that you have the appropriate capabilities/competencies to be a supplier, please indicate which battery material/ component you believe that you may supply. Check all that apply.

6. What topic(s) would you most like to see featured at a future NextEnergy battery event?

* 7. Is your organization involved in any battery-related research or product development?

8. Please explain how your organization is involved in battery-related research or product development?

* 9. Is your organization currently working with or a member of any of the following?

Thank you for helping us better understand your interest and/or current involvement in the battery industry. To learn more about how NextEnergy is accelerating advanced energy technologies in Michigan, please visit us at nextenergy.org.

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