EarthTeam
Million Kilowatt Hour Challenge
MKHC POSTER BLITZ BUSINESS VALIDATION

FOR BUSINESSES IN WHICH POSTERS ARE DISPLAYED

I verify that the student named below has completed the MKHC Poster Blitz by visiting my place of business and arranging for his / her poster to be displayed in my place of business.

Business Where Poster Displayed ____________________________________

Business Address ___________________ City _____________ Zip _________

Business Representative Name ____________________ Phone ___________

Business Representative Signature _____________________ Date _________

Student Name (Print) _________________________ School _______________

Student E-mail _______________________________Phone _______________

Return this form to:
MKHC Poster Blitz Validation
PO Box 4686
Walnut Creek, CA 94956
Fax: (925) 376-1456