Fresh Food Box e-Form

Please fill the following form out in order to participate in our Fresh Food Box program. Bear in mind that there is one box per household and it must have a Huu-ay-aht citizen residing in the residence. You will see a confirmation message on the screen and receive an email from Kristen Young.

Screenshot

  • Disclaimer – This program has been set up to help Elders and those with low incomes. If you are not in need please keep this in mind, as this program is subject to the availability of funds provided by Steelhead LNG.

Form:

We will do our best to avoid putting known allergens in a food box and apologize if it happens. Please inform us if it occurs continually.

Cities we deliver to: Anacla, Port Alberni, Nanaimo, Victoria and Vancouver.

4 thoughts on “Fresh Food Box e-Form

  1. Do you need to register everytime? I filled out form last time, is there a next step? I never picked up a box last time. I live in Abbotsford but am willing to meet truck as far as Surrey, if you go that far?

    Like

  2. Hello I would love to be apart of this! I think it is a great idea and would help us so much! I am available Tuesdays and Thursdays!

    Like

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s