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City of Temiskaming Shores - FoodCycler Pilot Program Registration Form
Please note that the registration for the FoodCycler Pilot Program for the City is now full.
We are now maintaining a waitlist, and will be in contact in the event spaces become available.
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1.
What is your first and last name?
(Required.)
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2.
What is your email address?
(Required.)
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3.
What is your phone number?
(Required.)
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4.
What is your civic address?
(Required.)
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5.
What is your postal code?
(Required.)
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6.
Which FoodCycler model would you like to purchase for your household?
(Required.)
FoodCycler Eco 3 ($200 + Tax)
FoodCycler Eco 5 ($300 + Tax)
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7.
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 of a brief exit survey about my experience with the program.
(Required.)
Yes