Experience Mekong Collection Nomination Form Submit details of your nominated responsible tourism operator in this form. The Experience Mekong Advisory Group advisory group will review your submission and, if it successful, authorise publication of the information you submit in this form at http://www.mekongtourism.org/experience-collection/. Accuracy is very important.We strongly recommend preparing all the information required for this form before commencing your submission. This is especially recommended for the long descriptive fields (The Travel Experience; Responsibility or How it Helps; and The Business Case). You can then simply copy and paste that pre-prepared content into the fields available. ABOUT YOUIf your nominated responsible tourism operator is successful, the information you submit in the section ABOUT THE NOMINEE will be published as a Experience Mekong Collection listing, once endorsed. And you will be credited as the author.Your family name:*Please type your family name hereYour given name:*Please type your given name hereAre you a Mekong Tourism Content Contributor?*Please choose yes or no to signify if you're already a Tourism Expert or Travel Storyteller on Mekong TourismYesNoPlease fill out the link to your Mekong Tourism profile page:Please fill out the rest of the URL linking to your Mekong Tourism profile page, this is used to credit you as the author, as we would in a normal post by you.Do you have a direct or indirect financial interest in your nominated tourism operator?*Please choose yes or no, if the submission is successful this will be disclosed in the published listingYesNoHow do you have a direct or indirect financial interest?Please describe in which way you have a direct or indirect financial interest in your nominated tourism operatorYour organisation:*Please type the name of your organisation hereYour job title:*Please type your job title hereDoes your organisation have a direct or indirect financial interest in the nominated tourism operator?*Please choose yes or no, if the submission is successful this will be disclosed in the published listingYesNoHow does your organisation have a direct or indirect financial interest?Please describe in which way your organisation have a direct or indirect financial interest in the nominated tourism operator?Your email:*Please type your email here, this will not be published Your phone number:*Please type your phone number here, including your country code, this will not be publishedABOUT THE NOMINEEPlease fill out the information about the organisation what you wish to nominate as a Responsible Tourism operator.Organisation (the trading name of the responsible tourism operator):*Please type the name of the organisationCategory*Please choose the primary business of the operator.AccomodationBar, cafe or restaurantCruiseShopTour or attractionIs this experience listed on MekongMoments.com?*Please let us know if the experience listed on MekongMoments.com. If not, or if you don't know, please consider registering by visiting MekongMoments.com. Each endorsed Mekong Responsible Travel Experience will get a special badge on MekongMoments.com. Yes No I don't knowWhat is the URL:What is your URL at Mekong Moments.Your Mekong Moments embed code:Please add the embed code for your specific Mekong Moments content board widget. The widget code can be found in the page of the experience on MekongMoments.com.Year operator was established:*Please write the year as a 4 digit numberCountry:*Please choose the country of businessCambodiaGuangxi, ChinaLaosMyanmarThailandVietnamYunnan, ChinaLocality:*Please type the city, town, village, or districtPhysical address line 1:*Please type the address of the operator in this and the next fieldsPhysical address line 2:Physical address line 3:Latitude map coordinates for Google Maps:*Please type the latitude for Google Maps here, use periods as decimals, if you're in doubt, please find more information here or Map Coordinates.Please enter a number from -90 to 90.Longitude map coordinate for Google Maps:*Please enter a number from -180 to 180.Phone number:*Please type the operators phone number for public information & bookingsEmail:*Please type the operators email for public information & bookings Website:*Please type a valid url for the operators website Facebook page:Please type the url for the operators Facebook page.Example: https://www.facebook.com/tourismmekong Twitter profile:Please type the url for the operators Twitter profile.Example: https://twitter.com/tourismmekong LinkedIn profile:Please type the url for the operators LinkedIn profile.Example: https://www.linkedin.com/in/thraenhart Instagram profile:Please type the url for the operators Instagram profile.Example: https://instagram.com/tourismmekong/ Pinterest profile:Please type the url for the operators Pinterest profile.Example: https://www.pinterest.com/tourismmekong/ YouTube channel:Please type the url for the operators YouTube channel.Example: https://www.youtube.com/channel/UCh_zFwgbOT660A6ml3oXDkg TripAdvisor link:If you're on Trip Advisor, please type the link for your Trip Advisor page here TripAdvisor Review Widget:If you're on Trip Advisor, please paste your TripAdvisor Review Widget hereMemberships/Affiliations:Organisations and associations with which the operator is associated; one per lineCertifications/Standards:Certificates, ISO or other standards achieved by the operator; one per lineAwards:Awards received by the operator; one per lineThe Travel Experience:*Describe the operator from the point of view of the traveller, passenger, guest, or customer of the operatorResponsibility or how it helps:*Describe in what social and/or cultural and/or environmental ways the operator could or should be considered "responsible"The business case:*Describe how the responsible actions described above help the operator achieve its business and financial objectives, such as through improved marketability, reduced costs, higher margins, repeat business, etc. If possible, demonstrate using real number how the responsible actions have had a positive impact on the financial bottom line of the operatorOPERATOR MEDIAPlease upload or add links for pictures that relate to the operator, and and links for videos.Operator feature image:If you've got a local copy of the feature image, please upload it here, the picture must be 275 pixels by 200 pixels in size, and jpg or png format.Accepted file types: png, jpg.Operator feature image link:If you've don't have a local copy of the operators feature image, please write a reference to one here, the picture must be 275 pixels by 200 pixels in size, and jpg or png format. Picture upload:If you have a local copy of pictures for the operator, please upload them here Drop files here or Accepted file types: jpg, png.Picture links:If you don't have local copies of pictures for the operator, please type in the full link here, one per lineVideo links:If you have links for videos for the operator, please type in the full link here, one per linePlease validate that all the information you're submitting is correct:* I warrant that the information submitted above is accurateregistration_type This iframe contains the logic required to handle Ajax powered Gravity Forms.