Food Joy 2018 Meal Kit Sign Up
Greetings! This application is Step One (1) in Food Joy's 2018 Meal Kit sign-up process! We use this form to gather administrative data, to collect baseline data for impact measurement analysis, and to confirm you understand the program before checking out. Your information is held secure and confidential. There is no right or wrong answer, please fill out as honestly and accurately as you can, then press "Submit." Within 1 business day after your submission, we will email you with instructions on how to check out and confirm your commitment to the 20 weeks of the program, in Step Two (2).
ADMINISTRATIVE DATA (Section 1 of 4)
I have read and understand the instructions above. *
Your Full Name *
Your answer
How did you hear about us? (Check all that apply.) *
Required
Number of people in your family or household (regardless of how many shares you are purchasing) *
What are the ages of each of your household members? *
Your answer
Please indicate which Kit you are subscribing to: *
How many Shares are you signing up for? *
Desired Delivery Address: Number, Street, City. Please enter your address even if you think we can't deliver to you. Most deliveries will have to be within Lewiston and Auburn, or a 5 mile radius of 310 Sopers Mill Road, Auburn, but its worth a shot! We will determine if you are eligible for delivery based on your location and cannot promise delivery at any location. This may be a work address, provided your landlord has authorized the placement of a semi-permanent, wooden cooler on the grounds and you can provide proof of such authorization. *
Your answer
Email Address (Very Important! Primary means of communication for the program.) *
Your answer
Confirm Email Address *
Your answer
Phone Number (with area code) *
Your answer
Desired Cooler location, if delivery is approved. Location must remain unlocked/accessible. *
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