People's Grocery - Grub Box

Grub Box

Please be sure to review all of the information on the Grub Box website before completing the registration for below. If you are ready to sign up for a Grub Box, fill out the form below and submit payment (instructions on the following page). A People's Grocery representative will confirm your order within a few days.

Have questions? Contact Diana for more information.

Items marked with * are required.

*Your Name:

Organization:

*Mailing Address:

Apartment, Suite, Floor:

*City:

*State:

*Zip Code:

Phone:

*Email:

Membership Type:		*Resident members must be low-income AND reside in zip code 94607 or parts of 94608. If enrolled in the food stamp program you are eligible for the resident membership despite zip code. If still unsure click here.
Payment Type:
EBT number, if applicable		(we will not charge your card until we talk to you on the phone)
Name on EBT card

*Please Check One:		West Oakland- People's Grocery Office, 909 7th St. (Tuesdays 1pm - 5:30pm) West Oakland- 34th and Market St. (Tuesdays 2:00pm - 6:00pm) West Oakland- Defremery Park Rec Center-1651 Adeline street (Tuesdays 5:00pm - 7:00pm) West Oakland- 11th St. and Wood St. (Fridays 3:00pm - 8:00pm) Highland Hospital, 4th Floor (Tuesdays 2pm - Midnight) West Berkeley Family Practice (Tuesdays 2pm - 5pm) Downtown Oakland, Green For All office- 1611 Telegraph Ave., Suite 600 (Fridays 1pm - 5pm) North Oakland- 55th and San Pablo (Fridays 1pm - 8pm) North Oakland- 59th and MLK (Fridays 1pm - 8pm) The Ecology Center- 2530 San Pablo Avenue in South Berkeley (Fridays 1pm - 6pm) Lake Merritt- Lee St. at Vernon (Fridays 2pm - 8pm)

Frequency:		Please select only one using pull-down menu

How did you hear about the Grub Box?

How many people do you plan to feed with your Grub Box?
How do you identify? (optional):
Comments:

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