Application for Industrial Assessment

Company Name
SIC Code
Is the facility located within 150 miles of Starkville?
Approximate Annual Gross Sales:
Approximate Annual Production:
No. of Employees:
Approximate Annual Energy Cost:
Do you have in-house expertise in energy use or conservation?
Approximate Waste Disposal Cost:
Contact Person:
Phone Number:
Fax Number:

Questions or comments:
Mississippi State University College of Engineering
Mississippi State University is an equal opportunity institution.