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2. Become a Media Borough Sustainable Storefront

   Your Media Borough business could be designated a Sustainable Storefront!  Please complete the form below to be considered.

   You MUST practice at least 5 of the sustainability tips listed below to qualify as a Sustainable Storefront.

   Businesses with age restrictions are excluded from the program.

   Why Join?

   • Your business will be listed with a clickable link on the borough website
   • Your business could be featured in the Media Borough eNews (circulation of over 14,000 per month)
   • Your business could be featured as a Sustainable Storefront on the Borough's social media sites
   • A window cling will be provided for your storefront designating you as a Sustainable 
   • Sustainable Storefront Table tents will be provided for your business location to be placed on tables or the cash register counter
   • Customers will be happy to see you engage in  sustainable business practices
4. Name*
5. Email Address*
7. Address*

   Please list your Media Borough business location

9. City*
10. State*
11. Zip Code*
13. Phone Number
15. Name of Business*

17. Please check the sustainability practices your business currently engages in

19. Reduce Waste by Recycling, Composting and Reusing:

    Check all that apply.  

    1. Recycle (Businesses in Media Borough are REQUIRED to recycle)
    2. Compost food waste
    3. Donate unwanted furniture and supplies for reuse
    4. Work with a company to collect pallets for reuse
    5. Establish programs to reuse office supplies and materials
    6. Donate edible leftover food from events to a food rescue organization
20. Provide Sustainable To-go Packaging Options:

    Check all that apply

    1. Offer reusable, compostable, or recyclable food containers (#1 and #2 plastics only, paper/cardboard, NO styrofoam)
    2. Only provide single use utensils and condiments on request
    3. No plastic bags or straws
22. Use Durable Goods for Onsite Dining:

    Check all that apply

    1. Reusable napkins and tablecloths (or no tablecloths)
    2. No single use plates, utensils or condiment packages for onsite dining.
23. Reduce Energy Consumption:

    Check all that apply

    1. Efficiently control internal temperatures
    2. Utilize energy-efficient equipment including set-back thermostats and LED lighting
    3. Utilize renewable energy (wind or solar)
    4. Motion sensor lights where appropriate (i.e. bathrooms, supply closets)
25. Implement Sustainable Purchasing & Disposal Practices:

    Check all that apply

    1. Purchase bags and paper made with 100% post-consumer recycled content
    2. Purchase products in bulk or with less packaging
    3. Ensure at least 30% of products sold are sourced locally
    4. Utilize locally made compost or mulch onsite
    5. Adopt an Environmentally Preferred Purchasing (EPP) guideline or policy
    6. Phase out toxic products
26. Promote Sustainable Transportation

    Check all that apply

    1. Provide deliveries in a low emission electric or high mpg fuel vehicles
    2. Incentivize employees to use public transportation
28. Conserve Water

    Check all that apply

    1. Install low flow and efficient water fixtures
    2. Utilize gray water systems to recycle water where possible
29. Please list any additional sustainable practices your business engages in that are not listed above:
31. Questions or Comments
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field