Township of Selwyn - FoodCycler Pilot Program Registration Form

Participants in the FoodCycler program will be selected on a first come first served basis while quantities last. If you are interested in participating, please register below. You will be contacted with payment details once your information has been verified.

Registration is open to residents who did not participate in the 2023 pilot. If you participated in the 2023 pilot, you are not eligible to participate.

Please note that there is a limit of one (1) FoodCycler per household/property.

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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 3 ($200 + 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

PRIVACY

Personal information on this form is collected under the authority of the Municipal Act 2001, c25. The personal information submitted will be used to provide you with information or updates on services or activities that the Township of Selwyn delivers under the Municipal Act or other legislation, including the FoodCycler Pilot Program. Questions about the collection of this personal information should be directed to the Clerk.