Central Coast Clean Cities Coalition (C5) - Alternative Fuel Vehicle Survey

ALTERNATIVE FUEL VEHICLES AND HYBRID VEHICLES

Contact Information (* = Required Field )
If you are a C5 member or stakeholder and you are certain that we have your information on file, please provide your name and/or company and we will complete the rest. Otherwise, please provide ALL relevant contact information.

First Name*
Last Name*
Title
Organization*
Address
City, State, ZIP
Email
Phone
Website

Please complete a separate survey block below for each vehicle or group of similar vehicles.

For example, if you have a single biodiesel passenger car, fill out a single block. If you have 10 electric NEVs which are all used as maintenance vehicles, also fill out a single survey block. If you have an assortment of various vehicles which run on different fuels or are used for different applications, fill out a separate survey block for each. If you run out of room, please submit multiple surveys.

Vehicle Description (Make, Model, etc)
Fuel/Technology Type*
Vehicle Application*
Vehicle Class*
Annual Usage Per Vehicle*

How many vehicles with this decription...
Do you have now?*
Did you buy/add this year?*
Did you sell, scrap or retire this year?*
Did you have last year?*

Vehicle Description (Make, Model, etc)
Fuel/Technology Type
Vehicle Application
Vehicle Class
Annual Usage Per Vehicle

How many vehicles with this decription...
Do you have now?
Did you buy/add this year?
Did you sell, scrap or retire this year?
Did you have last year?

Vehicle Description (Make, Model, etc)
Fuel/Technology Type
Vehicle Application
Vehicle Class
Annual Usage Per Vehicle

How many vehicles with this decription...
Do you have now?
Did you buy/add this year?
Did you sell, scrap or retire this year?
Did you have last year?

Vehicle Description (Make, Model, etc)
Fuel/Technology Type
Vehicle Application
Vehicle Class
Annual Usage Per Vehicle

How many vehicles with this decription...
Do you have now?
Did you buy/add this year?
Did you sell, scrap or retire this year?
Did you have last year?