Become a Harvest Club Pick Up Location
Sign in to Google to save your progress. Learn more
Email *
Where is your business based? *
What is your business name? *
What is your business Instagram? *
Do you have room *inside* your establishment for about 20 2x2ft boxes that our customers can pick up? These boxes can either be unattended (customer names are on each box) or your employee can check our customers in. *
Harvest Club pick ups are once a week on the same day (Tues, Wed or Thursday), all year round. Our boxes must be placed somewhere indoors. Would this work with your establishment?  *
Are you able to promote the Harvest Club to your community? *
Would you allow Local Roots to host info sessions at your establishment? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Local Roots NYC.

Does this form look suspicious? Report

Google Forms