Username *

Password *

Email *

Private Phone (for PFLL team)

Name of Business *

Website Link

Facebook Link

First Name of Representative *

Last Name of Representative *

Position

Number of Staff

Business Type *

• Appartment
• Café
• Hotel / Guesthouse
• Restaurant

Province *

• Attapeu
• Bokeo
• Bolikhamxai
• Champasak
• Houaphanh
• Khammouane
• Luang Namtha
• Luang Prabang
• Oudomxay
• Phongsaly
• Savannakhet
• Sekong
• Vang Vieng
• Vientiane Capital
• Vientiane Province
• Xaisomboun
• Xayabury
• Xiang Khouang

Projects joined/to join *

• Plastic Free Laos Label
• Rent Your Cup

Submit