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Katie Gerke Memorial Fund - Energy Audit Application
Before filling this out, get some audit quotes for different energy auditors. After filling this out,
email
gerke@nhipl.org
the quote from the energy auditor you wish to use
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* Indicates required question
Name of House of Worship
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Your answer
Mailing Address
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Street Address (if different)
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Web site
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Contact Person's Name
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Contact Person's Title (Pastor, Committee chair, etc)
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Contact Person's Email
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Contact Person's Phone Number(s)
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Describe the reasons for requesting the energy audit
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Cost of audit
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Amount of grant requested (must no more than 50% of total audit cost)
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Name of Energy Auditor/Auditing Company
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Contact information for auditor/auditing company
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Auditor Qualifications:
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Please include any other useful information you would like us to know. ------------------------Thank you for completing the form.
Please email us ( gerke@nhpl.org )
the auditor quote
and allow up to 30 days for a response.
Your answer
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