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:
E-mail:
Phone Number:
Fax Number:
Comments:

Questions or comments:  kenneth@engr.msstate.edu
Mississippi State University College of Engineering
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