Clean Energy Investor Contact and Information Summary
	Contact Name
	Title
	Company
	Address
	City, State, Zip
	Phone, Fax
	Email
	URL http://
Company Description
Key Bios

Please check all applicable choices
	A. Investor/Financier Type
	Venture
	Investment Banking
	Broker
	Angel
	Industry
	Utility
	Debt
	Project
	Consultant
	Other - Explain below
	B. Investment Stage
	Seed
	Early
	Venture
	Pre IPO
	IPO/Post IPO
	Mature
	Other - Explain Below
	C. Primary Geographic Coverage
	Local
	National
	International
	D. Past/Current Involvement with NREL Industry Growth Forum or National Alliance of Clean Energy Business Incubators
	Yes
	No
	No, but I want to become involved
	E. Typical Investment  $
	Total assets under management   $
	Number of energy projects

Technology Interests
	Current/Past Investments	Future Investment Interests
		All
Alternative Fuels & Chemicals
Appliances, Energy-Efficient
Biomass Power
Clean Vehicles
Combined Heat & Power
E-Commerce
Energy Efficiency/Conservation
Energy Management Systems
Emissions Control
Energy Storage
Fuel Cells
Green Buildings
Hybrid Power Gen.
Hybrid Vehicles
Hydro
Hydrogen
Information Technologies
Lighting Systems, Energy-Efficient
Micro-turbines
Photovoltaics
Power Electronics
Power Quality
Reliability
Solar Thermal
Space Conditioning
Transmission (Electricity)
Wave Energy Generation
Wind
Other Energy-Efficient/Conservation Technologies (explain below)
Other Advanced Energy Technology (explain below)

What other information would you like to include about your organization or investment interests?

   

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