Language
English (US)
Español
With Love, Community Essentials Market
Shopping appointment
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Zip Code
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of kids
*
How many kids do you have?
Please read and acknowledge the following
*
I understand that each person has to have an appointment to shop
I understand that I must stick to the item limits listed above and can get no more than 30 items regardless of what they are.
I understand that I can only get 3 packs of diapers total (one per child).
I understand that I can only get items for myself
I understand that I can only come shop once a month.
I will try and remember to bring my own bag to take my items home in.
I will park in the gravel parking lot or an appropriate parking space and not block anything.
I will check out the vendor(s) in front of the market and see what resources they have to offer.
I will come during the time frame I select.
Would you like an appointment on March 13 or March 27?
March 13
March 27
March 13
March 27
Would you like an appointment on February 13 or February 27?
February 13
February 27
Would you like an appointment on November or November 22?
November 7
November 22
Friday February 13
*
Friday February 27
*
Would you like an appointment on October 10 or October 18?
October 10
October 18
Saturday November 22
*
Friday January 16 or Friday January 30 (you may only choose 1)
December 6 - Regular Market December 11 - Christmas Market
Friday November 7
Friday October 10
Saturday October 18
Submit
Should be Empty: