Presentation Request

Incomplete and/or duplicate requests for a presentation will be deleted.
Note:  * denotes required information

Date of Request   

 * Brief description of Company: 

 * Has your Company made a presentation to Clark County previously?    Yes       No

                 * If so, please provide general timeframe:   Month January February March April May June July August September October November December      Year 2001 2002 2003 2004 2005  

 * Type of Product or Service:     Select Product Lighting HVAC Performance Contracting Roofing Windows Vending Machines Engineering Services Commissioning Electrical Supply Other  
                 Other: 

 * Brief description of Product or Service: 

* Are your Products or Services currently being used by other government agencies?  
   Yes       No

If Yes, please complete the following:

Name of Government Agency	Timeframe

* How long has this Product/Service been on the market?  

* Has this Product been through any national testing processes?   Yes       No  

* If YES, please provide details:

 Any other pertinent information you would care to share?: 

Reminder:  Please review the information you are submitting before clicking on the SUBMIT button as you will not have an opportunity to view the data once it has been submitted.