Join Refill Not Landfill | Become a #RefillStation!
Thank you for your commitment to help reduce the use of single-use plastic bottles! If you have made it this far, you have already heard of our campaign, and would like to commit to making a difference!

By completing this form, you are agreeing to supply clean drinking water to anybody presenting a reusable or refillable water bottle and you agree that your business or organization will appear on our map: 

We hate forms too, so we have kept it to an absolute minimum so it should only take you a minute or two!

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Who are you?
To make your life easier and to set your mind at ease, we only request information that is already in the public domain!
What is the name of your business/organisation? *
What is your email address? *
What is your name and position? *
Please provide the link to your business/organisation facebook page. Here is a link to ours: (Please LIKE ours while you're there!) *
Please share the website to your business or organisation
Where are you?
To help us organise our campaign, please share some info about your location.
Where are you in RefillAsia? *
Please share the link to your business on Google Maps - *
I would like to request the following (currently Cambodia Only but we can forward you the file to print your own)
RefillNotLandfill Community
Please join our partner group to keep up to date with happenings, and share ideas:
Are you interested in Customised Refillable Water bottles for your business or organisation? *
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Thank You!
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