Green Business Certification Application Form
GBC Home Page 
View Sample Application |


A. * Business Name:
    Building Certified:
  * Business Address:
  *City: *Zip:
  * Email Address: * Phone:
  * Contact:
 
B. Is this a LEED Certified Building: Yes No Occupant:
  Is Energy Audit done by DRG3: Yes No
  Is Energy Audit subsidized by DP&L: Yes No

Professional Engineer and /or Certified Energy Manager Information

C. Company: Contact:
  Street Address:
  City: Zip:
  Email Address: Phone:
  Registration Number: