Climate-Friendly Supermarkets Submission Form

Store Name

Refrigerant Type

Please select all that apply

CO2 (R744)

Propylene glycol

Water

Propane (R290)

Ammonia

HFC

System Type

Please describe the system you operate (e.g. CO2 transcritical, Micro-distributed hydrocarbons)

Store Address

City

Country/Region

State (U.S. locations only)

ZIP Code

Contact information below (This information will not be shared or made public)

Name

First Name

Last Name

If you have trouble submitting this form or have any questions please email climatefriendlysupermarkets@eia-global.org