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Membership Application Form for Businesses
Business Name
*
Business Location
*
If the company has multiple locations, please put the one where you/the contact person report to.
Business Website
*
Name of Contact Person
*
We may contact this person as part of your company's membership application process.
Contact Person’s Role in the Company
*
Contact Person’s Email
*
What is the nature of your business?
*
If you select "other", please describe in a few sentences what your company does.
Manufacturer
Service Provider
Retailer
Other
Do you produce single-use plastic items?
*
Yes
No
Do you use single-use plastic to package your products?
*
Yes
No
Do you sell or give away single-use plastics?
*
Yes
No
Do you sell or make plastic-free, reusable, and/or zero waste products as the bulk of your business?
*
Yes
No
Does your business implement reuse or refill systems or practices?
*
Yes
No
Does your company agree with the vision that the production of plastic must be reduced as far as possible?
*
Yes
No
How does your business manage the plastic packaging used for your products?
*
You can choose more than one.
We don't; we leave waste management to local governments
We don't yet, but are currently researching/making plans for managing the plastic waste we produce
We collect and recycle them
We hold cleanup drives
We contribute towards some or all of the financial cost of collection and recycling
We will reduce the amount of plastic we consume/produce
This question isn't applicable to us
Other
Does your company support waste incineration and/or any of its variants like thermal waste to energy, gasification, etc.?
*
Yes
No
Does your company endorse ‘novel recycling technologies’ such as chemical recycling, plastic to fuel or pyrolysis?
*
Yes
No
Does your company endorse bioplastics or plastic made from plants or unusual feedstocks as substitute for fossil fuel based plastics?
*
Yes
No
Does your company offer or endorse plastic credits or offsetting?
*
Yes
No
Does part of your profit go to the support of waste prevention activities? If so, which ones?
*
Please put N/A if not applicable to your business.
Does your company receive funding from the plastics and/or fossil fuel industry?
*
Yes
No
What are your principal motivations for joining the Break Free From Plastic movement?
If you have any additional information for BFFP please enter it here.
Please include any business practices that align with BFFP’s
mission and principles
.
Disclaimer
*
I understand that submitting this form doesn't guarantee my company's membership in the movement and that I may be contacted by a Break Free From Plastic representative for more information.