Produce Perks Interest Form

Produce Perks Family Fruit & Vegetable Coupon Program
The Family Fruit & Vegetable Coupon Program helps make produce more affordable for Ohio families. Eligible families who sign up at scheduled events receive a Family Fruit & Vegetable Coupon booklet worth $140 for fruits and vegetables at participating locations.

Families may qualify for Produce Perks support if they have a child in the household and/or are pregnant, are a US citizen or meet a citizenship exception, and meet monthly household income guidelines. Speak into the Light will host a community market event in the Hough neighborhood on Saturday September 19th where Produce Perks Family Fruit and Vegetable coupons will be distributed and local, fresh produce will be available for sale.

If you are interested in more information about the Produce Perks Family Fruit and Vegetable program, please share your information below and we will contact you with more details.

Full Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Preferred Contact Method

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Zip Code

Neighborhood

Number of people in your household

Do you currently have a minor child in your household?

Are you currently pregnant?

Would you like to join our mailing list for updates, events, and Produce Perks announcements?

Would you like to receive updates about the September 19 Community Market Event?

Please check all statements to confirm your understanding:

Produce Perks Interest Form

Contact Information

Household Information

Mailing List

Agreement