GULP Petition

Greater Ukiah Localization Project (GULP)

Business Directory Survey

PLEASE NOTE:  The following on-line form works with Internet Explorer but may not work with other browsers and may not work if you process your electronic mail on-line. 

 If you do not get confirmation that an email has been forwarded when you click the "Submit" button at the bottom of this page, please click here (GULP Local Business Survey.pdf), print and complete it and mail your completed survey to: GULP - Business Survey, P.O. Box 1435, Ukiah, CA 95482.  Thanks for your understanding. 

BASIC SURVEY DATA (REQUIRED)

1. Please provide the following contact information relative to your business:

Business Name:       

Business Address:

Business Phone:

Business Fax:

Internet Site Address (if any):

Email Address (if any): 

Business Category (to be used for the directory index): 

2. Please provide a general description of your business (20 word limit):

3. Please estimate the percentage of this business that is owned by persons who reside in Mendocino County:

4. Is your business part of a chain or franchise with more than 25% of its locations outside of Mendocino County:

INFORMATION NEEDED FOR HIGHER LEVEL (SILVER, GOLD OR PLATINUM) GULP CERTIFICATION 

5. Does your business have a policy of obtaining wholesale goods that are used in your business from independent, locally-owned (Mendocino County) suppliers when possible?  

6. Please identify the most significant independent, locally-owned (Mendocino County) suppliers of wholesale goods that your business relies on:

7. Please identify the most significant wholesale goods that your business relies on that you do not or cannot obtain from an independent source within Mendocino County:

8. Does your business have a policy of obtaining support services (e.g., banking, accounting, cleaning, etc.) used by your business from independent, locally-owned (Mendocino County) suppliers when possible?  

9. Please identify the most significant independent, locally-owned (Mendocino County) suppliers of business services that your business relies on:

10. Please identify the most significant business services that your business relies on that you do not or cannot obtain from an independent source within Mendocino County:

11. Does your business have a policy or make any formal effort to select products that are environmentally friendly?  If so, please explain:

Please consider providing a contribution to support GULP.  You may send a TAX DEDUCTIBLE contributions made out to Cloud Forest Institute (with a note indicating the funds are for GULP) to P.O. Box 1435, Ukiah, CA 95482

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