Technology Registration Form
Fill out the form carefully for registration
Project Developer/Owner
Name
Type of Entity
Academic
FFRDC
GOGO
Indian/Native American Tribe
Individual
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Leader
Country
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
Email
example@example.com
Financial
Capex (order of magnitude in M$)
Request for DOE funding in M$, max is 50% of capex
Assessment of impact of DOE funding on project (why is DOE funding required?)
Company or Organization Website
Company or Organization Contact
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Technology or Project Description
Technology or Project Type
H2 Production
Distribution
End Use - Energy Generation
End Use - Energy Storage
End Use - Transportation
Other
Supporting Documents: Examples: Overview, non-confidential business plan, spec sheets, etc.
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