Accommodations Request

We will provide reasonable accommodations so that an immunocompromised person who is unable to be fully vaccinated against COVID-19 and/or a person with a disability can benefit from the goods and services available at Three Rivers Market in accord with the Americans with Disabilities Act.
Are you immunocompromised and unable to be fully vaccinated against COVID-19 and/or do you have a disability that requires a reasonable accommodation so you can benefit from the goods and services available at Three Rivers Market in accord with the Americans with Disabilities Act?(Required.)
What accommodations would you like to request?
Are you a member of the food co-op?(Required.)
If you are a member of the food co-op, what are the last 5 digits of your member number?(Required.)
What is your first name?
What is your last name?
What is your email address? 
Thank you!  We will be in touch soon.