WaterStar Business Recognition Program Application

Contact Info

Contact Person *

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Contact Person Title *

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Phone Number *

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Email Address *

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Business Information

Business Name *

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Account Number(s) *

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Service Address *

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Suite, Apt Number

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City *

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State *

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Zip *

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Describe type of business institution:
(Examples: Full service-restaurant, food/beverage manufacture, offices, commercial landscape.) *

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Water uses *

Indoor & outdoor
(same meter)Indoor & outdoor
(separate meters)Indoor onlyOutdoor only

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No.of Employees at this location *

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Where did you hear about the WaterStar
Certification? *

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Has this site or facility received any other
environmental certification or recognition? *

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Check this box to verify that you meet all requirements for the Business Recognition Program.
All requirements on the "Eligibility Checklist" must be met prior to submitting an application. Invalid Input