Indoor Gardening Kit Registration
Hello! Thank you for your interest in Secure the Food Mississauga's Indoor Gardening program. Please fill out the form below to reserve a hydroponic indoor gardening kit. After you register, we will contact you regarding the pickup date and time to receive your kit.
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What is your full name? (first and last name) *
Please provide your address (note: we use this information only to confirm your residency in Mississauga) *
What is your email address? (Ex. username@gmail.com) *
Do you use Facebook? (We would like to make an online group) *
What time of day would you prefer to pick up the indoor gardening kit at? (You can choose multiple answers) *
Required
What day would you be able to pick up the indoor gardening kit? (You can choose multiple answers) *
Required
Any additional questions?
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