Town of Bancroft - FoodCycler Pilot Program - Registration Form

Residents of the Town of Bancroft can now register for the FoodCycler program.
Registering here does not guarantee your spot. Participants are selected on a first come, first serve basis.
You will be contacted by email in the next few weeks if you have been selected. This email will contain the link to order your FoodCycler online.
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 address? (No PO Box)(Required.)
5.What is your postal code?(Required.)
6.Which FoodCycler model would you like to purchase for your household?(Required.)
7.I acknowledge that by participating in a 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.(Required.)