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Registration Form - Town of Newmarket FoodCycler Pilot Program

IMPORTANT: Participants in the FoodCycler program will be selected on a first come first served basis. Registering for the program here does not guarantee your spot in the program. You will be contacted by email if you are selected to participate.

First & Last Name(Required.)
Email(Required.)
Phone number:(Required.)
Home Address (Not PO Box)(Required.)
Postal Code:(Required.)
Please select the FoodCycler model you would like to purchase for your household:(Required.)
I acknowledge that by participating in this pilot program and obtaining a municipally subsidized FoodCycler, I am required to track usage for 12 weeks and complete a brief exit survey about my experience with the program.(Required.)
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