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Clean Enterprise Program
Qualification Form

Company Information

Business Name:
Contact Name:	(Project Lead)
Phone Number:
E-Mail Address:
Business Address:
City:
State:
Zip Code:

SDG&E Information

SDG&E Account Number(s)	(separate multiple accounts with a comma)
SDG&E Account Executive Name
Average Monthly Electric Consumption	(in kWh)
Average Monthly Gas Consumption	(in therms)
Peak Monthly Demand	(in kW)
Do you authorize release to review SDG&E kWickview?	Yes No SDG&E kWickview is an online energy use data monitoring tool.

Project Information

Energy Efficiency Project Interests:	Please check all that apply Interior Lighting Exterior Lighting HVAC Regrigeration Food Service Equipment Gas Equipment Information Technology Systems Building Automation Systems Demand Management Solar PV (for reference only)      Other (list in comments, below)
Building Size?	(in square feet, separate multiple buildings with a comma)
Project Target Start Date?	Please select an option... Immediate (within 3 months) Short-term (3-12 months) Long-term (12+ months) Researching/Gathering Information
Would you like to be contacted by the CleanTECH San Diego Provider Network?	Yes No The CleanTECH San Diego Provider Network is a group of member companies that are SDG&E qualified.
How did you hear about the Clean Enterprise Program?
Comments: