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Grocery Grab N Go Vendor Registration Form
Company name:
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Contact Name:
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Contact Work Title:
Phone number:
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Email:
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Participation Month:
Company Products & Services You Would Like to Provide:
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Your Social Media Handles:
Instagram:
Facebook:
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Linkedin:
YouTube:
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Pinterest:
Other:
Select all that apply:
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Tabling at one or more locations
Flyer/brochure in food pantry bags
Flyer/brochure in Long Beach Food Pantry Delivery Bags (seniors and persons with disabilities)
Select the locations you would like to table at. The $500 flat fee applies to one or multiple locations.
Week 1: 1st Wednesday of the Month- Cesar Chavez Elementary School
Week 1: 1st Wednesday of the Month - Museum of Latin American Art
Week 1: 1st Friday of the Month - Stevenson Elementary School
Week 1: 1st Friday of the Month - Revive Church
Week 2: 2nd Wednesday of the Month - Lincoln Elementary School
Week 2: 2nd Wednesday of the Month - Philadelphian SDA Church
Week 2: 2nd Friday of the Month - Oropeza Elementary School
Week 2: 2nd Friday of the Month - McKinley Elementary School
Week 3: 3rd Wednesday of the Month - Whittier Elementary School
Week 3: 3rd Wednesday of the Month - Museum of Latin American Art
Week 3: 3rd Friday of the Month - Stevenson Elementary School
Week 3: 3rd Friday of the Month - Revive Church
Week 4: 4th Wednesday of the Month - Lincoln Elementary School
Week 4: 4th Wednesday of the Month - Philadelphian SDA Church
Week 4: 4th Friday of the Month - Oropeza Elementary School
Week 4: 4th Friday of the Month - McKinley Elementary School
Comments/Additional Information You Would Like Us To Know:
Press the Submit button to complete your registration.
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