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Ocean State Clean Cities Contact Update
RequiredRequired Question(s)

The Ocean State Clean Cities Coalition is updating its database in order to better serve its stakeholders.

We would greatly appreciate your participation in the following survey so we can update our records.

 
Required 1.


I am or represent:

An individual interested in Ocean State Clean Cities
A State Agency
A Local Agency or Municipality
A Nonprofit Organization
A Local Business
A Fuel Provider
An Energy provider
A Business in the Auto industry
A Business involved in Fleet Vehicles
An Educational Institution
Other  
Required 2.

I Would Like To:

Become a stakeholder and participate in Ocean State Clean Cities' events
Remain on the Ocean State Clean Cities' List-Serve
Be added to the Ocean State Clean Cities' List-Serve
Find out more information about Ocean State Clean Cities
Other  

To see a list of our current stakeholders, and to learn more about what being a stakeholder means, please visit out website:
http://www.uri.edu/cels/ceoc/ec/Stakeholders2.html

 
3.

If you would like to update your e-mail address or any other information you may have previously submitted, please enter it below.


By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

4.

Which subjects are most interesting to you?
(Feel Free to select more than one)

Propane
Compressed Natural Gas
Ethanol
Biodiesel
Plug-In Electric Vehicles
Hybrid Vehicles
Fuel Economy Measures
Idle Reduction
Vehicle Miles Traveled (VMT) Reductions
Other  

Thank you for your participation.