FoodShare Bamberg | Customer Info Intake Form

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Thanks for your interest on ordering your Fresh Food Box online! To be ready when SNAPonline launches, please provide the information requested below. Once we launch, you will receive an email from snaponline@foodsharesc.org to confirm your account and start ordering!

First Name *

Last Name *

Street Address *

City *

State *

ZIP Code *

Partner Site where you pick up your Fresh Food Box. *

Phone *

The email address you enter below will be used as your username to log into SNAPonline.

Email address *

What is the name that appears on the SNAP/EBT Card you will use to order? *

What date of the month does your SNAP card load? *

Have you ever ordered a Fresh Food Box in Bamberg before? *

Yes

That's it!

When SNAPonline launches you'll receive an email from snaponline@foodsharesc.org with directions to "claim your account" and begin ordering your Fresh Food Box!

So, click the Submit button below and have a great day!

Submit

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