Energy Project Information Form

 Corporate Contact
First Name:
Last Name:
Title:
Address Line 1:
Address Line 2:
City:
State:
Zip/Post Code:
Country:
Daytime Phone (International):
Evening Phone (International):
Mobile (International):
Fax (International):
Best time to contact: 
Email: 

 General Information
Project Name:
Corporation Name:
Product: 
Feedstock:
Technology:
Annual Production (mmg):

 
Site Location Address Line 1:
Address Line 2:
City:
State:
Zip/Post Code:
Country:
Acres:
Current Use:
Land Availability:
Existing Feedstock Storage:
Feedstock Contracts:
Existing Product Storage:
Offtake Contracts:
Existing Buildings:
EPC Contracts:
Existing Permits:
Existing Contamination:
Logistics
Name of port or waterway:
Access:
Draft:
Railroad Owned by:
Spur Capacity (No. of railcars):
Distance to Major Highway (miles):
Feedstock in Logistics:
Product Out Logistics:
Expenditures
Development Expenses to Date:
Capex Spent to Date:
Capex Remaining:
Operating Capital Available:
Capex Per Gallon/KW
Planning
Business Plan:
Prepared By:
Date (MM/DD/YYYY):
Feasibility Study:
Prepared By:
Date (MM/DD/YYYY):
Project Timeline:
Comments:
Application Completed By:
Email:
Phone (International):
Skype Name: if you have skype