GreenCape-FNF Africa Open-source Digital Publication
Dear Stakeholder

Thank you for your interest in the Open-source Digital Directory on Water Sector Support Services. To submit a record of your Technology Piloting and/or Manufacturing Services, please complete the form below and submit your content.

For any queries, please email water@green-cape.co.za, or call +27 (0) 21 811 0250.
Sign in to Google to save your progress. Learn more
Email *
Name of Business/Organization: *
Name of facility: *
Type of facility: *
Facility location(s): *
Technology focus areas per facility: *
Testing stream categories per facility: *
Manufacturing, laboratory equipment, and other tools available: *
Cost of piloting/demonstration/testing service (either typical cost range specified in ZAR, or process involved in the determination of costs):
Funding support available for piloting/demo/testing by business/organization/partner(s): *
Other on-site facility services/other support offered: *
Process/website to follow in order to obtain technology piloting/manufacturing support: *
Name of Key Contact: *
Key Contact E-mail: *
Key Contact Telephone Number: *
Website: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of GreenCape. Report Abuse
Google Forms