FGBC Green Land Development Certification Registration Form

FGBC Green Land Development Certification Registration Form
Submit this form to register for the FGBC Green Land Development designation. It represents your commitment to pursue the certification requirements.

Upon registration, FGBC will assign a Project Evaluator to answer questions regarding the certification process, criteria and required submittals.

A minimum deposit of $500 is required with registration, or you may pay the full application fee when registering.

For more information visit the FGBC website.
Project Information
Project Name*
Parcel ID*
Project Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Acres*
Website
Designated Professional Information
Full Name*

First NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Developer Contact Information
Full Name*

First NameLast Name
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Version*
Maximum fee for any project is $5,000. Select only the Maximum Project Fee for developments > 3,000 acres.

For all other projects enter the base fee plus the per acre fee.

Fee

Registration Fee$500.00

Base Fee$2,000.00

Per Acre Fee$1.00

# of Acres

Maximum Project Fee$5,000.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country