Registration Form - Westlake-Gladstone FoodCycler Program
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.
*
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 is your civic address?
(Required.)
*
5.
What is your postal code?
(Required.)
*
6.
Which FoodCycler model would you like to purchase for your household?
(Required.)
FoodCycler Eco 3 ($200 + Tax)
FoodCycler Eco 5 ($300 + Tax)
*
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 a brief exit survey about my experience with the program.
(Required.)
Yes