Register to Attend the Lawrenceville Farmers Market!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

NOTE: If you have already completed this sign in form, you no longer need to complete it repeatedly. We have your contact information on file, and will only use it in the event we need to be in touch about a COVID-related medical emergency.

Please contact market@lunited.org with any questions. We can't wait to see you at the market soon!

First and last name: *

Email address:

Contact phone number:

Would you like to be connected with assistance in accessing SNAP (food stamp) benefits? (check all that apply)

I would like to access the Food Bucks dollar-for-dollar match program to double my SNAP dollars at the market.

I would like to access an easy SNAP eligibility screening and application assistance over the phone.

I have applied for SNAP benefits already but believe I have been rejected in error.

I have other questions about SNAP and would like to speak with someone about the program.

No thank you.

Other:

If you selected any of the above, do we have your permission to share your name and contact information with staff at Just Harvest, who will follow up with you directly?

Yes

Other:

Clear selection

Would you like to be connected with assistance in learning about and accessing P-EBT (for families eligible for free and reduced school lunch), SFMNP (voucher program for seniors) or WIC (Women, Infant Children assistance) benefits? (check all that apply)

P-EBT

SFMNP

WIC

Other:

Our volunteers are the backbone of making this market safe and possible. Are you interested in volunteering with LFM?

Yes! Where do I sign up?

Maybe. Please send me information.

No, thank you.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lawrenceville United. Report Abuse

Forms