Alberta Clean Energy Database

Thank you for taking the time to fill out the following form. The information gathered will be used to assist the Alberta Government in creating a database of Alberta companies that create products or offer services within Alberta’s alternative energy / clean technology industry.

(*) indicates required field

Company Information
*Name / Company Name:  
*Address 1:  
Address 2:
*City:  
*Province:  
*Country:  
*Postal Code:  
*Phone:  
Fax:
Contact Information
First Name:
Last Name:
Email:
Website:
Company Overview
Company Specialization (Please check appropriate box)

My company specialized in products/services for the following alternative energy sectors:
Certification and Undertaking (Please check appropriate box)
The personal information requested in being collected in accordance with section 33(c) of the Freedom of Information and Protection Act, RSA 2000, Chapter F-25.


* I hereby consent to including my business contact particulars within any industry/trade directory expressly created for the purposes of exchanging business related information. This consent expires two years from the date noted.
Security
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contact info: naamah.segura@gov.ab.ca