Refill Isle of Man sign up form

If you meet the hygiene requirements detailed on the previous page, sign up to Refill Isle of Man free of charge by completing this online form.

1. Your Details
2. Declaration

Your Details

Premises Details

Location Name **
Premises Address Line 1 **
Premises Address Line 2 **
Premises Address Line 3 *
Premises Address Town **
Premises Address Postcode **

Your Details

Website **
Twitter Handle *
Instagram *
Facebook *
Brief description of your business (what you are/ethos) **
Tap Water * Tap Water NoTap Water Yes
Hot Drinks * Hot Drinks NoHot Drinks Yes
Food Items * Food Items NoFood Items Yes
If you have any other refill options, please specify *
Where would people get refill from? (ask at the front desk/water fountain location?) **

Opening Hours

Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
Saturday *
Sunday *
Our opening times are variable Our opening times are variable NoOur opening times are variable Yes

Attach a low resolution image of the front of your business premises, for us to add to the app, so ‘Refillers’ can easily recognise youYou can upload a maximum of 5 files, each up to 90MB.

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