Interested in a Pivot Direct Subscription?

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

Hey there!

Thank you for your interest in supporting local agriculture through a Pivot Direct Subscription.
We work with over 40 growers and food producers to bring you the best organically grown foods in the region.

We bring on new customers every month.
By filling out this quick survey we can be sure to get you on-boarded ASAP.

Deliveries:

Fridays 9-5 pm

Pick Up:

Fridays 3-6pm @ 831 E 17th St (Slow Body Beer Co.)

Saturdays 9-Noon @ 196 W Simpson (Exo Roast Co.)

Email *

First and last name *

Home Address (If you want delivery)
*

Email Address *

Phone Number (Share if you would like us to reach out via call or text) *

Select a Distribution Location

There is no additional fee if you select Pick-Up at Exo or Slow Body.
If you prefer delivery to your home a delivery fee will be added to each order. ($5-$8 Depending on delivery distance) *

Pick-Up at Exo

Pick-Up at Slow Body Beer Co.

Home Delivery

Select Frequency of Subscription *

Weekly

Every Other Week

Pivot Direct offers sliding scale weekly veggie subscriptions to households in need of weekly food assistance. Please check this if this applies to you, and we will reach out separately.

I am interested in a low cost/no cost subscription

Thank you so much for your interest in Pivot Direct!

We bring on new customers once per month, we appreciate your patience. At this point nothing is finalized and you have not committed to anything, we will reach out via E-Mail as soon as we are ready to onboard you as a customer.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Pivot Produce.

Does this form look suspicious? Report

Forms