Seed Sign-Up Form for Salesforce

1
Your Store ID #* This field is required.Enter your store's ID number if not already shown
2
Company Name
3
Organization/Business Name* This field is required.Please use your legal business name. If you're a farmer without a farm name, just enter your First and Last Name
4
Your Name* This field is required.
First Name
Last Name
5
Google Account Validation

Validate that your Google Account works with the FoodMesh system.

The FoodMesh apps use Google Accounts to manage user access. Click next to indicate if you have a Google Account that you can use for the program.

If you're unsure, use the link below to check if your account is valid.

Check Existing Google Account
6
Do you have a valid Google Account?
YESNO
7
If you don’t already have a Google account, click the link below to sign-up. Make sure to select the “Use my current email address instead” option if you'd like to connect a Google Account to the email you use for your organization.

Create new Google Account

Please complete the Google sign-up process before clicking Next.
8
Enter your Google Account email address* This field is required.Must be connected to a valid Google Account
example@example.com
9
Phone Number* This field is required.
10
Street Address* This field is required.
11
City* This field is required.
12
Province* This field is required.
British Columbia
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
13
Postal Code* This field is required.
14
Are your food donations to feed people or for farm animals?* This field is required.
People
Farm Animals
15
Date
Date
Year
Month
Day
16
Record Type ID
17
Account Source
General Intake Form
Seed Sign Up
Community Portal
Should be Empty:

Google Account Validation

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