Public Survey Set

Thank you for your interest in the Great Lakes Wind Network. The information you provide in this survey will help our Account Managers prepare for your site visit in which we will explore your role in the WIND Supply Chain. If someone from your company has already completed this survey, you do not need to complete it again. Thanks!

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Initial Info

* 1. I agree for my company to be listed as a part of the Great Lakes WIND Network

YesNo

*2. As a manufacturer, I understand that my company may be included in the on-line WIND Supply Chain Mapping & Data GIS system found at www.glwn.org . GLWN will review my company’s industry sector and geographical location for suitability.

YesNo

* 3. I understand that I am not obligated to disclose to Great Lakes WIND Network, any information about my company which may not be readily available in the public domain. Great Lakes WIND Network will take the necessary steps to safeguard proprietary information to ensure confidentiality.

YesNo


*Company Name:
	Is this manufactural location?
*Country:
Address:	Street Number Street Name Suite
City:
*State/Province:
Zip/Postal Code:
	Contact Infomation ( Fax Number, Phone Number)

County:
Website:

Contact Infomation

CEO Name:

President Name:

Prime WIND Contact Name/Numbers

*Name:

Title:

*Email Address:

ex) youremail@domain.com

Phone Number:

Phone Type	Number	Ext.
Office
Office 1
Cell
Fax
Home

Annual Sales:
Timeframe:	ex) yyyy

	Overall:	$ ex)xx,xxx
	Wind Supply:	$ ex)xx,xxx

Number of Employees:
Timeframe:	ex) mm/yyyy

Office:

Full-time equivalent:

Shop:

Full-time equivalent:

Square Footage Occupied :

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