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Please complete the following form and hit "Continue to Part 2 of 7" to begin your
Environmental Respect Awards Online Entry.
ALL online entries must be endorsed by a representative from DuPont.
DuPont representatives can endorse an entry by sending an e-mail message to kamccloskey@meistermedia.com
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Company Name *
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Applicant Name *
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| Title |
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| Address * |
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| City * |
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| State/Province * |
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| ZIP/Postal Code * |
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| Country * |
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| Phone * |
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| FAX |
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| E-mail * |
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| Web Site |
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| DuPont/Pioneer Contact Information |
| DuPont/Pioneer Contact Name: * |
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| Contact Phone #: * |
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| Check the products and services that you offer. |
Products
Insecticides
Herbicides
bulk
package
Fungicides
Seed
Biotechnology Products
Bag Fertilizer
Dry Bulk Fertilizer
Fluid Fertilizer
Anhydrous Ammonia
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Services
Consulting Services
Computer Mapping
Custom Application
aerial
ground
Variable-rate Application
Vegetation Management
utility
brush
railway
roadside
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| Comments |
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In clicking "Continue to Part 2 of 7", I hearby affirm that ALL of the information that I enter in this online self-audit and material included as supporting evidence for this entry, is an accurate portrayal of the business listed above.
NOTE: Please double-check each form before clicking on "Continue". All unanswered questions are counted as a "no" response, which could have a negative impact on your overall evaluation.
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Supporting Evidence
We also need Photos! Include any supporting evidence (photos and documents) that you feel is appropriate to expressing your company's environmental stewardship.
If you have photos in a digital format that are less than 1 MEG in file size, you can attach them in an e-mail to kamccloskey@meistermedia.com
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You can send photos by Postal Service with your Name, Company Name and E-mail Address to:
Environmental Respect Awards
37733 Euclid Avenue
Willoughby, OH 44094 USA
Ph: +440-942-2000 Fax: +440-975-3447
Submission of Photos to the Environmental Respect Awards, constitutes an authorization by the copyright owner for Meister Media Worldwide to use, publish, and distribute such photographs in any medium, including the Internet.
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