WA Farmers Market Food Access Brochure Order Form (2022)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Farmers Market Food Access Brochures are published and distributed in partnership with WA Department of Health's Snap Market Match, WIC (Women Infant and Children) FMNP (Farmers Market Nutrition Program), Senior FMNP, and the WA Department of Health and Human Service's SNAP-Ed (Supplemental Nutrition Assistance Program Education) Program.

Brochures provide information about farmers markets offering access to food access benefit programs and incentive matching programs in 8 specific regions around the state. They are available in English, Spanish, Russian and Vietnamese.

Please submit your order by July 15th. Brochures may be ordered after this date based on availability.

Brochures have been developed with funds from USDA's Food and Nutrition Service. USDA is an equal opportunity employer.

Please email info@wafarmersmarkets.org with any questions. Thanks for your help getting the word out about how to shop at farmers markets!

Please indicate if you are ordering on behalf of a farmers market, SNAP-Ed program, WIC or Senior FMNP partner, or other program. *

Farmers Market

SNAP-Ed Partner

WIC or Senior FMNP

Other:

2. Name: *

Title:

Organization: *

Mailing Address (unable to ship to P.O. Boxes): *

City: *

State

Zip Code: *

Phone: *

Email: *

Regional Brochures

Brochures have been developed for 8 regions in Washington.

* A separate regional brochure for Spokane has been developed in partnership with Spokane Regional Health and Catholic Charities of Eastern WA. Please email Carolyn.knowles@cceasternwa.org for more information.

Please select the regional card you are ordering. Select only one. If you would like to order cards for multiple regions, submit a separate form for each regional order. *

Northeast WA (Pend Oreille, Stevens, Ferry, Okanogan, Chelan, Douglas, Grant, Adams, Lincoln)

Southeast WA (Whitman, Garfield, Asotin, Columbia, Walla Walla, Franklin, Benton, Yakima, Kittitas)

Pacific Northwest WA (Whatcom, Skagit, Snohomish, Island, San Juan)

King County

Seattle

Pierce County

West Sound (Clallum, Jefferson, Kitsap, Mason, Grays Harbor)

Southwest WA (Thurston, Pacific, Lewis, Wakiakum, Cowlitz, Clark, Skamania, Klickitat)

Languages

Brochures will be available in English, Spanish, Russian and Vietnamese. Indicate the number of brochures you would like for each language below. Minimum order is 25 and maximum order is 500. If you need larger quantities, please email caprice@wafarmersmarkets.org for availability.

English Language Quantities (25-500)

Spanish Language Quantities (25-500)

Russian Language Quantities (25-500)

Vietnamese Language Quantities (25-500)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Washington State Farmers Market Association. Report Abuse

Forms