Little Bloom - Kindness
Sometimes we need a little kindness and that is more than okay.

Please answer the following questions to get on the list to receive a gifted box.

Pick up is on  Wednesday's from 1 pm - 7:30 pm * (Time subject to change)  

We will email or call when a box becomes available to record your selection and pickup time
( some boxes may contain pre-selected items).  

Pickup is at 595 Main Street in  New Rochelle, NY ( Follow us on insta @bloomhealthyorg

For any questions please email us at support@bloomhealthy.org.
Email *
Name
Email address *
Phone
What is your zip code? *
Have you recently experienced a lost or decrease in income? *
Have you been impacted by the pandemic or another crisis? ( Please explain) *
How many people are in your household? *
Does anyone have dietary restrictions or allergies to certain foods? *
If you answered yes to the above, please explain any dietary restrictions or allergies below.
Who referred you to Bloom Healthy? *
If you are home bound and unable to pick up  please provide your address for delivery (must have prior approval)
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