Green Enterprise Assistance Business Information Form

Please complete the information below as much as possible to ensure a timely reply. Fields marked with asterisk are required.

1. Your Name and Contact Information:

First Name: Last Name:

* Company Name:

* Phone:

* E-mail Address:

Preferred contact method:

2. How long has your company been in business?

less than 1 year
1 to 5 years
5 to 10 years
10 years or more

3. Please select your company’s current or proposed sector(s):
(Check all that apply)

Advanced energy storage
Renewable or renewable energy: (Specify types)
         Wind    Solar    Biomass       Hydro
Carbon capture, reuse and sequestration
Energy efficiency
Water quality and conservation
Biofuels
Biomaterials or “green” chemistry
Other sector (Describe)


4. Please provide a short description of your product or service.

5. Please select the categories of assistance that describe the nature of your inquiry?
(Check all that apply)

Permitting and other regulatory information
Supply chain or raw materials information
Project financing
Project incentives
Research and statistics
Location/site assistance
Other specific issue (Describe)


Click SUBMIT to send. You will be contacted within 2 business days by Jennifer Hawkins, the Green Enterprise Assistance Concierge. If your request is urgent, please contact Jennifer at 651-259-7437 or Jennifer.Hawkins@state.mn.us.

Thank you.

1.	Your Name and Contact Information:
		First Name:	Last Name:
		* Company Name:
		* Phone:
		* E-mail Address:
		Preferred contact method:
2.	How long has your company been in business?
		less than 1 year 1 to 5 years 5 to 10 years 10 years or more
3.	Please select your company’s current or proposed sector(s): (Check all that apply)
		Advanced energy storage Renewable or renewable energy: (Specify types) Wind Solar Biomass Hydro Carbon capture, reuse and sequestration Energy efficiency Water quality and conservation Biofuels Biomaterials or “green” chemistry Other sector (Describe)
4.	Please provide a short description of your product or service.

5.	Please select the categories of assistance that describe the nature of your inquiry? (Check all that apply)
		Permitting and other regulatory information Supply chain or raw materials information Project financing Project incentives Research and statistics Location/site assistance Other specific issue (Describe)
Click SUBMIT to send. You will be contacted within 2 business days by Jennifer Hawkins, the Green Enterprise Assistance Concierge. If your request is urgent, please contact Jennifer at 651-259-7437 or Jennifer.Hawkins@state.mn.us. Thank you.