Energy Savings Assessment

Energy Savings Assessment
Please complete this form to provide key facility and energy usage information for your hotel. This information will enable Green Matters Technologies to conduct a preliminary energy audit and assess potential energy savings opportunities. Please attach all relevant supporting documentation as instructed.

Estimated completion time: approximately 3-5 minutes.
Contact Information
Name*
Position/Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com

Current Energy Costs and Usage
Please specify the currency used for all financial inputs:
Gas Consumption
Upload or take photos of gas bills. One month is sufficient, but multiple months, or the last 12 months in a spreadsheet, will allow for a more accurate analysis. Alternatively, you may fill out the fields below.

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Gas Consumption
Gas Consumption Unit of Measure
Gas Consumption Time Frame
Gas Price (per unit)
Gas Price Unit of Measure
Electricity Consumption
Upload or take photos of Electricity bills. One month is sufficient, but multiple months, or the last 12 months in a spreadsheet, will allow for a more accurate analysis. Alternatively, you may fill out the fields below.

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Take Photo
Electricity Consumption
Electricity Consumption Unit of Measure
Electricity Consumption Time Frame
Electricity Price (per unit)
Electricity Price Unit of Measure
Water Consumption
Upload or take photos of Water bills. One month is sufficient, but multiple months, or the last 12 months in a spreadsheet, will allow for a more accurate analysis. Alternatively, you may fill out the fields below.

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Take Photo
Water Consumption
Water Consumption Unit of Measure
Water Consumption Time Frame
If you are unable to upload any of the requested files, please email photos or documents to your Green Matters Technologies representative or to info@greenmattersinc.com. Please include your hotel name in the email subject.
Should be Empty:

Contact Information