Waste to Energy Questionnaire
Please Complete the Form and click the submit button below when completed
* Required Field
1. General Information:
a. Company Name:
b. Contact Data
Name:
Job Title:
Address:
Telephone:
Website:
Fax:
Email:
Skype:
Other Apps:
c. Application Data:
Waste Type:
Throughput for a 24
hour per day basis:
Is There an Existing Plant:
Plant Site Location:
Site Access:
Expected Utilities Present:
Estimated Startup Date:
2. Waste Characterization (Type of Feedstock):
a. Waste Stream
Other (please explain)
%

%

%
b. Waste Stream Makeup by Weight
c. Chemical Composition of Waste
Stream:
%

%

%
3. Intended Ownership Data:
a. Who is the customer?
b. Who will be the owner?
c. Is funding / financing for the project in place? If yes, please explain
4. Customer Input Data (Process / Operating / Utilities)
a. Available Utilities at Site:
Electrical Power:
Water:
Gases:
b. Local Cost of Power ($.00/kwH)
c. Planned Operating Hours / Day
d. Local Personnel Direct Labor Rates
Plant Manager
Shift Supervisor
System Operator
Assistant
Other
e. Labor Markup (Fringe & OH)
f. Waste Tipping Fee ($/ton):
g. Anticipated Financing Rate:
i. Other Charges:
5. Financing Data
Type of Company:
If a public company, ticker symbol and listed Exchange:
Financing Plan:
Brief Company and Business Description
Financial/Investing Partners: (Please continue  If Required)
Bank:
Contact:
Address:
Phone Number:
Has your
Company/Manicipality  
Declared Bankruptcy?
Please check one:
No
Yes
6. Other Pertinent Information (Please List)
Home
All information is confidential
All rights reserved :COPYCLAIM; 2015 Waste 2 Energy Solutions, Inc
Email: info@nationsmarketing.com  USA Telephone: 786-514-8099
Contact us for sustainable solutions for your
Business • Industry • City
_____________________________________________________________________________________________________________________________________
Creates
Downloads
Presentation