Georgia Industrial Assessment Center (Geo-IAC) Eligibility Form

If you see this don't fill out this input box.

*Company Name

*Facility Address for the Assessment

*NAICS and/or SIC Code

*Facility Estimated Annual Energy Cost

Annual Gross Revenue Range

Less than $100 million Between $100 million and $249 millionBetween $250 million and $399 millionMore than $400 million

*Primary Point of Contact

*Primary Point of Contact Email

*Alternate Contact Person

*Alternate Contact Person Email

Submit   Cancel

Back to the Georgia Industrial Assessment Center (Geo-IAC) page