Receipt Drive | Gem City Market
We want to know what kinds of food you like to buy and cook so we can better serve you now and when Gem City Market opens its doors. Help us stock our store and share recipes with what YOU want to eat.

We are aiming to collect 100 grocery receipts from future Gem City Market customers. We are accepting old grocery receipts until mid-October 2019. This form will help us know how to focus our efforts! Thank you so much!

(Feel free to black out any information you are uncomfortable showing. All remaining personal or sensitive information will be redacted and kept confidential.)
Sign in to Google to save your progress. Learn more
Are you already a member of Gem City Market Cooperative? *
What is your postal zip code?
3-ways to engage! *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gem City Market. Report Abuse