Annual Alt-Fuel and Vehicle Report Survey
Please help South Shore Clean Cities as we put together a snapshot of the amount of petroleum and greenhouse gas emissions Northern Indiana reduced in 2016. Your data will help us reflect to the rest of the U.S. all the activities and initiatives happening in Northern Indiana.

All responses are confidential. Your individual numbers will not be shared with anyone outside the South Shore Clean Cities staff. Any data shared will be aggregate data that reflects the entire coalition. Please fill in each category that best applies to your company. Any information submitted refers to the 2016 calendar year (January through December), not model year or fiscal year.

South Shore Clean Cities covers 18 counties across Northern Indiana including Lake, Porter, LaPorte, St. Joseph, Elkhart, Lagrange, Steuben, Newton, Jasper, Starke, Marshall, Kosciusko, Noble, DeKalb, Pulaski, Fulton, Whitley, and Benton County.

Categories include:
* New Stations
* Medium-Duty and Heavy-Duty Vehicles
* Light-Duty Vehicles
* Off-Road Vehicles
* Fuel Providers
* Vehicle Miles Traveled (VMT) Reductions
* Idle Reduction Initiatives
* Fuel Economy Improvements

If any sections are unclear or you need assistance, please contact Catherine Yoder at
219-644-3690 or cyoder@southshorecleancities.org

Please complete by 5 PM CDT Friday, March 10, 2017.

Company or Organization
Your answer
City
Your answer
Contact Name
Your answer
Title
Your answer
Email Address
Your answer
Phone Number
Your answer
How many total vehicles are in your fleet (all fuel types)?
Your answer
How many alternative fuel or advanced technology vehicles are in your fleet?
Your answer
What market do these vehicles serve?
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