Clean Technology and Sustainable Industries Organization

Technology Partner Submission Form

We suggest creating a separate word document with fields as a tool to assist in saving and completing your submission.

 

Company Information

Company Name:
Division / Department:
Contact First Name:
Contact Last Name:
Contact Job Title:
Address 1:
Address 2:
City:
US State / Canadian Province:
Region/Other mailing:
 (if you selected Not Applicable in the pull-down above)
ZIP/Postal Code:
Country:
Phone:
Fax:
E-mail:
Website:
Organization Type:
Company/Org size (Revenues/receipts):
 

Technology Information

Solution Category:
Building Efficiency/Management
Industrial/Commercial Energy Efficiency
Residential Energy Efficiency
Demand Response
Load Management
Distributed Generation
Centralized Power Generation
Energy Storage
Lighting		 IT
Transmission & Distribution
Transportation
Reliability & Service Management
Pollution Monitoring & Reduction
Smart Grid
Water
Waste Management & Recycling
Other:
 Select above all technology areas of interest.
Willing to be partner for:
Pilot/Test Partner
Pilot/Test Funding Partner		 Early Adoption Customer
Customer
Interested in products with minimum technical maturity of:
Early Prototype
Commercial Prototype/Pilot		 Production
High-volume
Willing to work with partners at following commercial stage or later:
Primary partner need:
Pilot/Test Partner
Early Adoption Customer		 Customer
 What are you looking for? Select all that apply.
Average maximum ROI timeframe:
 Level of testing/adoption opportunities with your organization over the next 12-24 months?
Specific solutions/technologies you are looking to evaluate/implement:
1000 word(s) left.
Willing to provide the following for testing/pilot projects:
Infrastructure (grid, building, fleet)
Capital - small
Capital - big		 Data collection/analysis
Resources/time
Other:
Testing/adoption opportunities:
 Level of testing/adoption opportunities with your organization over the next 12-24 months?
General Information:
Please provide an overview of your organization and information relevant to identifying potential technology partners. 2000 word(s) left.
Utility Technology Challenge Showcase:
 Would your organization like more information regarding the Utility Technology Challenge that is showcasing a peer-selected group of utility-scale solution providers?
 
Click on the Next button to review your submission.
 
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