Company Name
Your Name
Your Title
How many facilities do you lease?
Does your company own the facility or is it leased?
Lease Own
What is the size of your facility (SQ/FT.)?

Describe the operation of the facility?
(i.e. School, Industrial, Commercial, etc.)

Local utility service territory
(i.e. PSE&G, JCP&L, etc.)
What is your annual electrical cost?
What is your annual gas cost?
What are the operating hours of your company?
What equipment or process uses the largest amount of energy? (i.e. Motors, HVAC, etc.)
Have you implemented any energy efficient upgrades? If so, what and when?