Carbon Footprint Questionnaire for a Business

A. Company

Name
Address
VAT No

B. Contact Person

Name
Email
Phone
Website

C. What is the address of your system ?

System address

D. Type of energy consumed by your system:

E. Amount of energy consumed by your system, on average, per month:

Electrical (KWh)
Nat. Gas (m3)
Petroleum (lt)
Other (please describe)

I hereby declare that all the data I have provided are true to my knowledge.