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Green Leader Environmental Labelling Program Application Form

 

Please use the online form or download a printable PDF

Company Information

     

Company Name

:

 

Address

:

 

 

   

Telephone

:

 

Fax

:

 

E-mail

:

 

Contact

:

 

Website Address

:

 

 

Type of Business

   

Manufacturer

Retailer

Service Provider (Designer/Consultant)

Government

Other (Please Specify)  

 

Company Description

   

Please describe the nature of your business:

 

Certification Level Sought

   

Green Leader:  Member

Green Leader:  Local

Green Leader:  National

Green Leader:  Global

 

Current Environmental Certification

   

 

Please advise of any  environmental certifications your company or its products have achieved:

ISO 14001

Taiwan Green Mark

Oeko-tex

US Green Seal

Blue Sign

Heart Foundation

Nordic Swan

Energy Star

Canadian Eco-logo

Energy Rated

EU Flower

Water Wise

German Blue Angel

Other, please specify 

Japanese Green Mark

None

 

Terms and Conditions

 

I have read and understand the terms and conditions and agree to abide by them.

 

Fees Payable

 

Fees are payable annually and based on the total budgeted sales of goods or services by the applicant.  The annual fee is $1.00 for every $1000 of sales.  The minimum fee is $1000 and the maximum fee is $250,000.

 

Please type the code shown in the image: 

 

 

 

 

 

 

 

 

 
   
 

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