OZARKS GREEN BUILDING COALITION

Sponsorship Application

Company Name _______________________________________________

Contact Name _________________________________________________

Address ______________________________________________________

City ___________________________ State _________ Zip ____________

Phone ______________ Fax _____________ Email ____________________________

Web site address ________________________________________________________

Company description (may be used on web site) ________________________________

YES! Sign me up to be a Green Building Coalition Sponsor!
(Check the appropriate Sponsorship Level.)

Sponsorship Level

______ Benefactor

______ Supporter

______ Contributor

Print out, fill out and RETURN COMPLETED FORM TO:

Ozarks Green Building Coalition
PO Box 3032
Springfield, MO 65804