2012 Annual Sacramento

Sustainable Business of the Year Awards

Nomination Form

Due by July 31, 2012

Awards Ceremony will be held this September 6, 2012:

The Sacramento Area Sustainable Business Program promotes businesses that adopt environmentally friendly practices, prevent pollution, and conserve resources. The Annual Awards honors the top performers in the program who have implemented outstanding achievements in Energy Conservation, Water Conservation, Pollution Prevention, Solid Waste Reduction, Green Building and Transportation/Air Quality.

NOMINEE / BUSINESS INFORMATION

Business Name

Contact Name

Street Address

City

Zip

Business Phone

Fax

NOMINEE / BUSINESS DESCRIPTION (CHECK ONE)

Large Business (more than 20 employees)

Small Business (20 employees or less)

Non-Profit Organization

Government Agency

# of employees ____

CATEGORIES OF SUSTAINABILITY MEASURES UNDERTAKEN (check one or more)

Energy Conservation Water Conservation

Solid Waste Reduction Green Building

Pollution Prevention Transportation & Air Quality

NARRATIVE BASIS FOR NOMINATION (Sustainability measures implemented between July 1, 2011 and June 30, 2012)

NOMINATOR INFORMATION

Name

Organization

Street Address

Zip

City

Fax

Business Phone

Email

SUBMIT APPLICATION TO

Mail: BERC, 3200 Freedom Park Drive, Suite 100, McClellan, CA 95652 Email:

FAX: 916-874-1003

The 2012 Sustainable Business Award Ceremony is sponsored by the Sacramento Municipal Utility District (SMUD, the Sacramento Regional Solid Waste Authority (SWA), the Sacramento Business Journal, Sacramento Metropolitan Chamber of Commerce. Administered by the Business Environmental Resource Center (BERC). Call (916) 874-2100 for more information.