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Apply to participate in the Chemical Footprint Project Survey:

First Name

Last Name

Job Title, Department

Email

Organization

Website

Headquarters Address

Your Mailing Address

Please answer the following questions. Your answers will not impact your score:

Does your company manufacture products?

Yes

No

Will you be reporting on products, manufacturing, packaging? Check all that apply.

Products

Manufacturing

Packaging

We are reporting on: Full portfolioPartial portfolio

Have you been asked by a CFP Signatory to respond to the Survey? If so, which Signatory(ies)?

Do you give permission to Clean Production Action to tell the above Signatories that you have registered for participation?

Yes

No

After completing this form you will be sent a link to your Survey. Please contact Angela Pinilla at angela@cleanproduction.org if you have any questions.

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