2020 SNAP Share Enrollment Form

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Thanks for your interest in joining Greensgrow's SNAP Share program!

DUE TO THE LARGE AMOUNT OF INTEREST WE'VE RECEIVED, ALL SIGN-UPS PAST MAY 21st 2020 WILL BE ADDED TO A WAITLIST.

Please fill out the following information so we can add you to our membership waitlist. As more room in our program becomes available, we will reach out to start your membership and begin delivering fresh local produce to you and your family.

How the program works: share boxes are delivered every other week. Members pre-pay monthly for two share boxes (or 4 weeks-worth of shares), as the due dates listed below indicate. If a payment deadline is missed, memberships are suspended and deliveries are placed on hold until payment is submitted.

The SNAP Share program is year-round. Please review the chart below for an example of 2020 delivery weeks (note: exact delivery dates will vary by location) and the payment deadline for those deliveries.

Please contact snapshare@greensgrow.org with any questions.

SNAP Share Delivery & Payment Dates

Name *

Email address *

Phone number *

Zip code *

How many children (18 yrs or younger) are in your household? *

Is your household income below the SNAP-eligibility threshold? *

Monthly income limit: 1 person - $1,619, 2 people - $2,195, 3 people - $2,771, 4 people - $3,347, 5 people - $3,923, 6 people - $4,499

Yes

What share type would you like to sign up for? *

Meat + Produce ($63/month) - option of beef, chicken, or seafood share box.

Large Fruit and Vegetable ($50/month)

Small Fruit and Vegetable ($40/month)

If you chose Meat + Produce, what kind of meat would you like in your share box? *

The type of meat (beef, chicken or seafood) will not change, but you get a different cut/variety with each delivery. If you ever need to change the type of meat in the future, you'll be able to do so on a monthly basis by sending an email to Greensgrow (snapshare@greensgrow.org).

Not applicable - I do not want the Meat + Produce share.

Beef

Poultry/Chicken

Seafood

Pork

What protein choice would you like included? *

1 dozen eggs

1 pound of tofu

Where would you like your share delivered? *

Please consult the Philly Foodworks delivery map - https://tinyurl.com/yagl6d9g - and write in your desired pickup location name in the space below:

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