Town of Kirkland Lake - FoodCycler Pilot Program - Registration Form

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 if you are selected to participate.

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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. What is your civic address?

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* 5. What is your postal code?

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* 6. Which FoodCycler model would you like to purchase for your household?

FoodCycler FC-30 ($150 + 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.

Yes