Skip to content

Haliburton County - FoodCycler Pilot Program Registration Form

1.What is your first and last name?(Required.)
2.What is your email address?(Required.)
3.What is your phone number?(Required.)
4.What municipality do you live in?(Required.)
5.What is your County of Haliburton address?(Required.)
6.What is your mailing address?(Required.)
7.Are you a permanent or seasonal resident of the County? Seasonal includes any cottages or other non-primary residences.(Required.)
8.How did you hear about the FoodCycler program?(Required.)
9.How many people live in your household?(Required.)
10.How would you best describe your household?(Required.)
11.What type of household do you live in?(Required.)
12.Have you participated in a previous FoodCycler municipal pilot program? If yes, you will be contacted to discuss potential opportunities to upgrade your device. (Required.)
13.Which FoodCycler model would you like to purchase for your household?(Required.)
14.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.)