Supplier Membership Application | Green Table Network

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Select the category of your organization*
- Grower/producer/artisan/co-op
- Non-profit organization
- Business (manufacturer/ service provider/distributor etc.)
Grower/producer/artisan size and Annual Fee*
- 1 - 5 Employees -$150
- 6 - 20 Employees -$450
- Over 20 Employees -$750
Non-profit organization size and Annual Fee*
- 1 - 5 Employees -$150
- 6 - 20 Employees -$450
- Over 20 Employees -$750
Business size and Annual Fee*
- 1 - 10 Employees -$450
- 11 - 25 Employees -$750
- Over 25 Employees -$1050
Company Information
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website*
Email*
Phone*

Waste Management / Reduction
Recycle paper, cardboard and containers?*
- Yes
- No
- Working On It
- Not Applicable
Paperless invoicing or digital options to printing?*
- Yes
- No
- Working On It
- Not Applicable
Conducted a Waste Audit?*
- Yes
- No
- Working On It
- Not Applicable
EPR program? (Extended Producer Responsibility)*
- Yes
- No
- Working On It
- Not Applicable
Packaging made from recycled materials?*
- Yes
- No
- Working On It
- Not Applicable
Packaging compostable or biodegradable?*
- Yes
- No
- Working On It
- Not Applicable
Do you have anything else to add in the area of Waste Management?*
- Yes
- No
Please fill this in with your additional information on Waste Management
Administration / Policy
Belong to any regional or national environmental initiative, non-profit or NGO?*
- Yes
- No
- Working On It
- Not Applicable
Published or made public an environmental protection statement or triple-bottom line commitment?*
- Yes
- No
- Working On It
- Not Applicable
Are there clear, enterprise-wide environmental policies or best practices?*
- Yes
- No
- Working On It
- Not Applicable
Any environmental criteria to assess impacts of products? (existing or new)*
- Yes
- No
- Working On It
- Not Applicable
Do you have a Green Team?*
- Yes
- No
- Working On It
- Not Applicable
Do you have anything else to add in the area of Administration?*
- Yes
- No
Please fill this in with your additional information on Administration or Policy

Energy Conservation
Purchase energy from a carbon-neutral third party supplier (ie Bullfrog Power)*
- Yes
- No
- Working On It
- Not Applicable
Energy generated from renewable technologies/sources?*
- Yes
- No
- Working On It
- Not Applicable
Any Energy Star appliances or equipment?*
- Yes
- No
- Working On It
- Not Applicable
Employee awareness campaign around energy conservation?*
- Yes
- No
- Working On It
- Not Applicable
Upgraded to high-performance lighting?*
- Yes
- No
- Working On It
- Not Applicable
Do you have anything else to add in the area of Energy Conservation?*
- Yes
- No
Please fill this area in with your additional information on the area of Energy Conservation.
Water Conservation
Installed aerators or other low-flow devices?*
- Yes
- No
- Working On It
- Not Applicable
Low- or zero-water landscape/maintenance program?*
- Yes
- No
- Working On It
- Not Applicable
High performance water systems in any buildings?*
- Yes
- No
- Working On It
- Not Applicable
Have you conducted a Water Audit?*
- Yes
- No
- Working On It
- Not Applicable
Do you have anything else to add in the area of Water Conservation*
- Yes
- No
Please fill this area in with your additional information on Water Conservation

Pollution Prevention & CO2 Reduction
Wastewater/P2 assessment?*
- Yes
- No
- Working On It
- Not Applicable
Gather data on CO2 emissions?*
- Yes
- No
- Working On It
- Not Applicable
Carbon offset or –neutrality program?*
- Yes
- No
- Working On It
- Not Applicable
LEED or equivalent standards for buildings?*
- Yes
- No
- Working On It
- Not Applicable
Green/eco-friendly cleaners?*
- Yes
- No
- Working On It
- Not Applicable
Low emission shipping/delivery?*
- Yes
- No
- Working On It
- Not Applicable
Employee incentives for low emission travel?*
- Yes
- No
- Working On It
- Not Applicable
Employee incentives for low emission travel?*
- Yes
- No
- Working On It
- Not Applicable
Do you have any additional information on the area of Pollution Control?*
- Yes
- No
Please fill in this area with your additional information on Pollution Control
Purchasing
Sustainable Purchasing Policy?*
- Yes
- No
- Working On It
- Not Applicable
Life cycle analysis?*
- Yes
- No
- Working On It
- Not Applicable
Green supply chain?*
- Yes
- No
- Working On It
- Not Applicable
Re-used/reclaimed/upcycled products?*
- Yes
- No
- Working On It
- Not Applicable
Low-impact print services?*
- Yes
- No
- Working On It
- Not Applicable
Do you have any additional information in the area of Purchasing?*
- Yes
- No
Please fill in this area with your additional information in the area of Purchasing

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