Free Bundle Application Form
The following form is to apply for a free Square Roots Vegetable Bundle. Once filling out the form, someone from our team will contact you with details on how you will receive your free bundle.
Which of the following best applies to your household income: *
Which of the following statements best suits you:
Clear selection
Is there an easily accessible grocery store close to where you live?
Clear selection
Has COVID-19 made your financial situation more difficult?
Clear selection
What is your email? (this will stay private, this is only for contacting purposes)
Submit
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