Honest Weight Food Co-op Outreach Program & event Request Form

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Please complete the information below and return to: Honest Weight Food Co-op Amy P. Ellis, Community Outreach Coordinator amy@honestweight.coop Fax: 518.482.8329

Dear Community Organization:

The Honest Weight Food Co-op is committed to promoting health and sustainability, and is happy to participate in community programs. However, our funds are limited and we are not able to grant every request. Please review our philosophy and guidelines, then kindly give us some information about your group and its participation needs.

Philosophy:

Honest Weight seeks to support organizations that help us in fulfilling our mission. This includes organizations that address food issues, community building, sustainability, environmental preservation, cooperative values, and alternative/complementary health care.

Guidelines:

The program or event mission must be in line with the Honest Weight Food Co-op Philosophy. The request to participate must be made at least 4 weeks prior to the program or event date. Priority is given on a first come first serve basis and the availability of our member workers. Priority is also given to organizations that support the Honest Weight Food Co-op mission. Organization name:_________________________________________________________________________ Address:_____________________________________________________________________________________ Contact person:______________________________________________________________________________ Phone:______________________Email:___________________________________________________________ Program Date:______________________________Time:____________________________________________ Program Location & Address:_________________________________________________________________ Parking for Co-op participants:____________________Food Allergies:____________________________ How many attendees:__________________________ Target audience: ____________________________ How would you like the Co-op to participate:_________________________________________________ _________________________________________________________________________________________________ Please describe your organization and the purpose of your program and/or event: _________________________________________________________________________________________________

100 Watervliet Avenue, Albany, New York 12206


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