EcoCenter Form
1. Fill out required details
First Name
Last Name
Email
Contact No.
Address
Proposed Area of Operation (Barangay/District)
2. Provide your organizational details
Organization Name
Size
Select size
1-10
11-20
21-50
Type
Years Active
Select type
Individual
Cooperative
NGO
Enterprise
B2B
Others
Select one...
10 yrs +
5 yrs +
2 yrs +
Start-up
Your Role
3. Briefly describe your organization's history, mission, and initiatives
History and Mission
Existing Community Initiatives
4. Capital Outlay Commitment
I commit to fulfilling the required capital outlay for my Eco-Center responsibilities under the Refill Revolution Campaign.
Total Capital Outlay: ₱150,000
FMCG Product Allocation: ₱100,000 (initial stocks)
Distribution Bond: ₱50,000 (credit security, refundable)
I will pay the required capital outlay upon signing of Agreement
I request installment for the Bond (50,000) – Subject to Project Lun'awhag approval
5. Declaration of Intent and Confidentiality
I hereby express intent to serve as an
Eco-Center
under the Refill Revolution Campaign.
I understand and agree to the following:
Submission of this accreditation does not yet constitute approval.
I will safeguard campaign materials, tools, and data provided to me.
I commit to the core values of sustainability, transparency, and collective advocacy.
I shall not engage in the distribution of conflicting or non-approved products.
Yes, I have read, understand, and accept it.
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