ZEN 2018 - Business Registration

Zero Emissions Network (ZEN)

The award winning 'Zero Emissions Network' (ZEN) helps businesses save money, reduce emissions and improve air quality across Hackney, Islington and Tower Hamlets. The information you provide will be used to help us get in touch with the right person at your workplace and help us to understand the issues most important to your business. Your information will be used in line with Hackney Council's Privacy Policy.

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1. Date of Registration

Today's date

Date

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2. Business Information

Business Name

Business Address

Postcode

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3. What borough is your business located in?

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4. Business Sector

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5. Your work contact details

Name

Telephone

Position held

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6. How many staff work at your company?

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7. Are you interested in any of the following

	Yes	No	Maybe
Electric vehicles	Electric vehicles Yes	Electric vehicles No	Electric vehicles Maybe
Electric Bikes	Electric Bikes Yes	Electric Bikes No	Electric Bikes Maybe
Cargo-bikes	Cargo-bikes Yes	Cargo-bikes No	Cargo-bikes Maybe
Car Clubs	Car Clubs Yes	Car Clubs No	Car Clubs Maybe
Zero emissions taxis	Zero emissions taxis Yes	Zero emissions taxis No	Zero emissions taxis Maybe
Energy audit	Energy audit Yes	Energy audit No	Energy audit Maybe
Freight consildation	Freight consildation Yes	Freight consildation No	Freight consildation Maybe
Sustainable travel grant	Sustainable travel grant Yes	Sustainable travel grant No	Sustainable travel grant Maybe
'Dr Bike' sessions	'Dr Bike' sessions Yes	'Dr Bike' sessions No	'Dr Bike' sessions Maybe
Cycle Safety Seminar	Cycle Safety Seminar Yes	Cycle Safety Seminar No	Cycle Safety Seminar Maybe
Cycle Training	Cycle Training Yes	Cycle Training No	Cycle Training Maybe
'Fix Your Bike' Course	'Fix Your Bike' Course Yes	'Fix Your Bike' Course No	'Fix Your Bike' Course Maybe
Cycle parking facilities	Cycle parking facilities Yes	Cycle parking facilities No	Cycle parking facilities Maybe

ZEN 2018 - Business Registration

Zero Emissions Network (ZEN)

Question Title

1. Date of Registration

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2. Business Information

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3. What borough is your business located in?

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4. Business Sector

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5. Your work contact details

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6. How many staff work at your company?

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7. Are you interested in any of the following

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8. How did you hear about the Zero Emissions Network?

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9. Would you like to be added to our mailing list?