Participate

The ASHE Region 10 E2C campaign is designed to include both facilities that are benchmarking for the first time and facilities that have already benchmarked. The program gives you access to free technical support and additional tools and resources to help you reach your 10% energy improvement goals.

For Region 10 healthcare facilities to be recognized for their benchmarking and energy savings efforts, we ask that for every building registered you share your benchmarking data with the Energy Star Master Account, “Northwest Energy Efficiency Alliance Region 10 E2C.”  This is done while entering the building data in Energy Star's on-line benchmarking tool, Portfolio Manager.

CONFIDENTIALITY: Your benchmarking and billing data will be held strictly confidential and will only be used to track total number of registrants and total regional energy savings. If you have any questions or concerns about confidentiality, please contact Stan Price.

Current participants must share benchmarking data beginning January 1, 2010.

To enter multiple facilities, simply resubmit this form with information for each additional facility.

* Denotes required fields.

Registrant Information

First Name: *

Last Name: *

Title:

Company: *

Email: *

Phone: *

What ASHE chapter are you a member of?

Please select one of the following: select...Alaska Society of Healthcare Managers and EngineersHawaii Society for Healthcare EngineeringIdaho Society for Healthcare EngineeringMontana Society of Healthcare EngineersOregon Society for Healthcare EngineeringColumbia River Healthcare Engineers AssociationWashington State Society for Healthcare EngineeringWyoming Society of Healthcare EngineeringNone of the above

Facility Information

Facility Name: *

Facility Address: *

City: *

Zipcode: *

Energy Information

Has this building already been benchmarked using ENERGY STAR Portfolio Manager?: *

Yes

No

If so, please enter the most recent ENERGY STAR benchmarking score you obtained and the year:

Year:

Rating:

Energy Use Index:

Please enter the names of the utilities that provide gas and electric service to this location.

Electric Utility: *

Gas Utility: *

Briefly describe any energy efficiency improvements you are considering for this building, and what issues, if any, are preventing you from moving forward with these improvements:

What code is in the image?: *

Enter the characters shown in the image.