ECOCLUB.com Ecolodge Membership Application

Please read the criteria and terms of ECOCLUB.com Ecolodge Membership before completing this form.

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How did you find out about ECOCLUB.com? *

Title *

Your Full Name *

Email *

City *

State or Region

Country *

Your Website or Blog

Your Occupation

Organisation for which you are working

Your Position at this Organisation

Lodge Name *

Lodge Address (actual location) *

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Number of Rooms *

Total property area (please clarify if hectares or acres) *

Year of Construction *

Number of Employees *

The Lodge is owned by: *

Please explain in what way your Lodge meets our Eligibility Criteria *

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Lodge Type *

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