ENVIRONMENSTRUAL COALITION APPLICATION FORM
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Email *
Email address *
Organisation name *
Location of Headquarters  *
Organisation phone number *
Website address *
Links to social media *
Organisation description *
If you are not a manufacturer, how does your organisation work to reduce period plastic pollution (programmes, activities, communications etc)? *
Where does your organisation operate (cities or countries) *
What do you hope to gain from joining the coalition going forward? *
Your organisation's annual turnover *
How did you hear about the coalition? *
If your company offers reusable/plastic-free alternatives, what do these include? (select all that apply) *
Required
Other alternatives (if you selected other, please share other reusable/non plastic items your organisation offers below) *
Please disclose all the ingredients of your menstrual products (including plastics, PFAS, antimicrobials, dyes, fragrance etc)?  *
Do you test your products for the presence of harmful chemicals?
 *
Do any of your products contain bioplastic? Please specify *
Have your products been tested on animals? *
Affiliations and certifications (select all that apply) *
Required
Please provide any additional information you'd like to share with the Environmenstrual Coalition *
Communication or marketing contact *
Primary contact (First name, last name, job title, email, phone number) *
Have you made a donation for membership, based on your annual income (Annual income under £500k - £50, Annual income £500k-1 million - £100 Annual income £1-19million - £175 Annual income £20 million plus - £250 *
Would you like to receive the latest Coalition e-updates? *
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