SNAP Share Enrollment Form
Thanks for joining Greensgrow's SNAP Share program! Please fill out the following information so we can process your membership and begin delivering fresh local produce to you and your family!

Shares are delivered every other week. Payment for a month of shares is due one month prior, as the due dates listed below indicate. If a payment deadline is missed, memberships are suspended and deliveries are placed on hold.

May deliveries - Payment due by April 11
June deliveries - Payment due by May 9
July deliveries - Payment due by June 6
August deliveries - Payment due by July 4
September deliveries - Payment due by August 29
... the SNAP Share program is year-round.

Please contact snapshare@greensgrow.org with any questions.

Name *
Your answer
Email address
Your answer
Phone number *
Your answer
Zip code
Your answer
How many children are in your household?
Your answer
Is your household income below the SNAP-eligibility threshold? *
Monthly income limit: 1 person - $1,619, 2 people - $2,195, 3 people - $2,771, 4 people - $3,347, 5 people - $3,923, 6 people - $4,499
What share type would you like to sign up for? *
What protein choice would you like included? *
Where would you like your share delivered? *
If you don't wish to pickup your share at a Greensgrow location, please consult this map - https://tinyurl.com/yagl6d9g - and write the alternative location name below
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