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Hilltown Mobile Market Interest form

Thank you for your interest in participating in the Hilltown Mobile Market for summer of 2020.

This form is now obsolete. If you are interested in signing up for a CSA or farm share for the coming season, please fill out our new 2020 interest form by clicking here.

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7. Have you ever participated in the CISA Senior Farmshare?
7. Were you planning on participating in the CISA Senior Farmshare this summer?
7. If a mobile market site is convenient for you to visit, would you be interested in picking up a weekly "share," or allotment, of fruits and vegetables providing that you would be able to choose the items that comprise the share?
8. Please select the size of the share you would be interested in getting on a weekly basis. An "item" may be a singular piece of larger produce or a pound of smaller produce. For example, an item may be one head of lettuce or one butternut squash, but may also be one pound of apples or tomatoes.
8. Thinking about the size of the share you selected, what is the maximum amount you would be willing and able to pay for that share on a weekly basis?
8. Do you currently receive SNAP (Food Stamps)?
9. Are you familiar with the Healthy Incentives Program?
9. Are you looking for new or easier ways to earn your HIP benefit?
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10. Was the following statement often true, sometimes true, or never true for you/your household in the last 12 months? :
“The food that I/we bought just didn’t last, and I didn’t have money to get more.”
11. Do you have access to a personal vehicle that you are comfortable driving?