Greater Indianapolis Chamber of Commerce
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Green Business Membership Application
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Click here to login and return to a previously started application.
General Information
Business Name:
Website address:
Description of Business:
Contact Name:
Title of person completing application:
Phone:
Email
*
Password
*
Confirm Password
*
Your password can be used to return to this application at a later time using the link at the top of each page of the application.
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Number of Employees:
Own building or Lease office space:
Chamber Member Since:
Central Indiana Clean Air Partnership Member Since:
Recognized Environmental Program Certifications (e.g. ISO 14001, EPA Performance Track, LEED, etc.):
Business Category
Office or Retail Operation
Hotel
Restaurant
Print
Landscape Design or Maintenance
Construction
Auto Service
Architecture/Engineering Services
Technology
Manufacturing
Agricultural
Supplier of Green Products/Services
Provider of Green Services
Other (please specify)
As a member of the Green Business Initiative and leader of my organization, I pledge to continually strive toward environmentally safe and sustainable business practices and operations to ensure that the greater Indianapolis region is environmentally healthy and viable.
Signature:
Title:
