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Company Representative Signup

Company Representative Signup Steps
Personal Info	Done

If your company is already a member of the Green Grid, you can use this form to get a username and password to gain access to the Members Area.
The information you provide will be used for internal purposes only and will not be re-distributed. For more information, please review The Green Grid privacy policy.

Apply for an Account
Your company must be a member of this organization for you to gain access to the members area of this site. If you have signed up in the past and have forgotten your password, see the Password Help to receive a new password. *Required Field
Company Information
Company*
Personal Information
Salutation
First Name*
Middle Name
Last Name*
Title*	e.g., Director of Marketing
Contact Information
Primary Email Address*
Secondary Email Address
Work Phone Number*	e.g., country code 111 222-5555 or +99 22-333-9999 x343
Fax Number
Cell Phone Number
Mailing Address
Contact Name
Address 1*
Address 2
City*
State/Province/Region	If you are outside of the U.S. or Canada, you must select "Outside of U.S. and Canada (enter below)" in the dropdown box. Outside U.S. and Canada:
Zip/Postal Code
Country*
Additional Information
Receive Japanese Members Email	Subscribe to the Japanese members email list
Receive Chinese Members Email	Subscribe to the Chinese Members email list
Receive EMEA Members Email	Subscribe to the EMEA Members email list
Preferences
Selecting 'No' to the Privacy Option will hide personal contact information from the company roster on the My Account page.
Receive Members Email*	Yes, subscribe to the members email list and send other general announcements No, do NOT send general members email
Privacy Option*	Indicate a preference on how this information should be listed in online directories or rosters of member contact information. Yes, share information No, do NOT share information