2. Business Name*
4. Business Address*
6. City*
7. State*
8. Zip*
10. Contact Name*
11. Contact Email*
13. Phone *
15. Other Locations (in Edmond)

    Please list any other locations with the same business name in Edmond that you wish to be certified.

17. Description of Business*

    Please provide a brief description of the type of business and services provided.

19. Best Time to Contact*

    1. Morning
    2. Afternoon
    3. Early Evening (no later than 5p)

    Contact will only be made Monday - Friday

20. Best Contact Method*

    1. Email
    2. Phone
22. Self Audit Checklist Upload*

    Attach your Self Audit Checklist which correlates with your business type (Retail/Grocery, Restaurant or Automotive). 

23. Other Location Self Audit Checklist Upload

    If you have additional locations under the same business name please upload their Self Audit Checklist here.

    
    

25. EGB Property Owner Authorization Form Upload*

    Attach a completed Edmond Green Business Certification Property Owner Authorization Form for your business. 

    The form can be found HERE.

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field