Organization: Contact name: * Title: Address: * 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: * City: * Phone: * E-mail: * Type of Organization: * Business Contractor Government Nonprofit Other If you selected "other" please describe your organization here: Area(s) of interest: * Business development Energy efficiency programs Environmental programs Housing Job training Youth programs Other If you selected "other" please tell us what additional interests you have: My organization would like to: * Donate goods or services to Green Impact Zone projects Learn more about the Green Impact Zone Partner on a program with the Green Impact Zone Pursue a contract to provide goods or services for a fee Other If you selected "other" please describe what your organization would like to do: Briefly describe your offer. Please include timeframe, deliverables and benefits to the Green Impact Zone: *