EmailMe Form - Full Application

A. Contact & General Information

Name (Team Leader) *

First Last

Title or Position *

Institution/Company *

List Other Team Members

Stove Name *

Website of Institution or Company *

Stove Website (If different)

Email *

Phone *

### - ### - ####

Extension

Int'l Phone (if applicable)

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Description of the stove *

Photo or Diagram (optional)

B. Stove Technology

What are features of the stove that make it a high performance appliance? (max 400 words) *

Is this stove on the market and if so, where? What is the price of this stove? (max 50 words)

Please provide a link to the stove if it is on the market.

Link (if applicable)

Has the stove been built yet? If it is not completed, what elements are still under construction or being modified and when is the expected completion date? (max 400 words)

Please provide both a picture of the current stage in the building process as well as a model or drawing of the finished product.

Picture (if applicable)

C. Testing Information

1. Please describe how and where stove has been tested. Please specify the equipment used (company, make, model, year), method of analysis used, and duration of the testing. (Max 400 words) *

2. Emissions: Please provide carbon monoxide (CO), oxygen (02) and particulate matter (PM) data in the metrics available and explain what they are. Please include grams per hour following EPA testing requirements (Method 28, 5G) if available, or the equivalent of your country’s PM testing requirements. If the stove is not yet tested or certified for sale, please provide the best PM data available. *

3. Efficiency: Please provide efficiency data in the metrics available, and explain what they are. Please include CSA B415, HHV, following EPA requirements, if available, or the equivalent of your country’s testing requirements. Please convert efficiency data to HHV values, unless specifically noted otherwise. *

4. Heat output: Was BTU output tested or calculated in any way? If so, how and what were results? (Max 400 words) *

5. Weight, or estimated weight of stove or prototype? *

6. Dimensions or estimated dimensions, of stove or prototype and dimensions or volume of the hopper: *

7. Electricity requirements (if applicable):

D. Diagrams and Photos

Please upload 3 – 4 drawing and photos. (Examples of photos that have been helpful in the past: front of the stove, back of the stove, side view of the stove, hopper, control system/buttons, any temperature regulating devices.)