2022 City Fresh SNAP Order Form
  • Complete this form to order using SNAP/EBT
  • Orders must be placed at least 48 hours before the requested pick up date
  • The information you provide in this form will be used to reserve your Farm Box
  • Bring your SNAP/EBT card when you pick up to process payment on-site
  • You are encouraged to continue ordering shares by paying for them in advance at your Fresh Stop. If you do not do so, please submit this form each time you would like to order.
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First Name *
Last Name *
Email Address
Phone Number
Can the number you provided receive text updates regarding your Farm Box?
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