Contact information: Agency name: * Contact person: * E-mail: Phone: * Mailing address: * City: * State: * - - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: * Do you have either of the following available for tours? Homes to show in the Green Impact Zone Furnished models to show in the Green Impact Zone LINE What type of booth will you have? * Display (informational materials and/or sample products) Demonstration (how-to or hands-on) Services (screenings, assistance with applications, etc.) Booth options: Standard booth provides one 6' table and two folding chairs. Other needs: Do you require electricity? * Yes No Do you require additional chairs Yes No Type this code: (no spaces) *