Complete this Form to Receive Your Order of Nutrient-Dense Food
Please complete this form by Friday at 2pm so that our team can update your order accordingly for the upcoming week.
If you would not like to receive food for some of the coming weeks, submit the Pause Request below by Friday at 2pm. If this form is not completed, we will not be able to distribute your food for the upcoming week.
*Please note:* if you are experiencing any symptoms of the virus, we ask that you do not come to a pickup site in order to help protect other members of the community.
First and Last Name (the name you used to place your order)
If you'd like to pick up your hyper local ingredients, please select a location and time below.
398 Court Street, Brooklyn // Tuesdays, 3-6pm
398 Court Street, Brooklyn // Wednesdays, 3-6pm
220 East 81st Street, Manhattan // Tuesdays, 4-6pm
Have a hungry friend or homebound parent who could use a little extra fresh food in their life? Share their email below to help get them started.
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This form was created inside of Local Roots NYC.