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With Love, Community Essentials Market
Shopping appointment
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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 items for myself
I understand that I can only get 3 packs of diapers total (one per child)
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
Would you like an appointment on November or November 22?
November 7
November 22
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
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