Use Our Loos Sign-up
Please use the form below to register your business to the Use Our Loos Campaign.
* Required
Email address
*
Your email
Business Name
*
Your answer
Contact Name:
*
Your answer
Contact telephone
*
Your answer
Business Information:
This information will be used to add you to the Great British Public Toilet Map so that people can find you. Please ensure you fill out all fields and check spelling and accuracy.
Street Address (Name and number)
*
Your answer
Town/Region
*
Your answer
Post Code
*
Your answer
Are you currently listed on the Great British Public Toilet Map?
*
Yes
No
Not Sure
Toilet coordinates (if known)
Your answer
Opening Hours
*
Your answer
Facilities offered
*
Male
Female
Unisex
Accessible Facilities
Baby Change
Other:
Required
Do you currently participate in a local Community Toilet Scheme?
*
Yes
No
Not sure
Would you like to receive complimentary Domestos cleaning products?
*
Yes
No
If you prefer to have products delivered to a different address please indicate below. If address is the same as your business address leave blank.
Delivery Address
Your answer
I consent that the Use Our Loos campaign will add me to the Great British Public Toilet Map and store and use my data to send me a welcome pack and keep me informed about the campaign.
*
Check here to accept
Required
If you would like to receive additional information about and news from Domestos, please tick this box.
Yes, keep me informed about Domestos!
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
