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OMB No. 2060-0347

Join the Small Business and Congregations ENERGY STAR Network

Yes, I would like to join the Network of small businesses and congregations working with ENERGY STAR.

I believe that greater energy efficiency can increase the financial health of my organization and aid in preserving the environment for future generations. On behalf of my organization, I pledge to buy ENERGY STAR equipment and upgrade the energy efficiency of my facilities whenever financially viable. As part of the Network, I may use the ENERGY STAR promotional mark in accordance with the ENERGY STAR identity guidelines.

(Required) indicates a required field.

Type of Organization

Contact Information

Your e-mail address is used only to send your “Welcome to ENERGY STAR” package and your bi-monthly “ENERGY STAR E-Update” (6 issues annually). Your e-mail address will not be “spammed” or sold by ENERGY STAR.

Do you Rent or Own?

The government estimates the average time needed to fill out this form is 5 minutes and welcomes suggestions for reducing this level of effort. Send comments (referencing OMB control number) to the Director, Collection Strategies Division, U.S., EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.

EPA Form 5900-21