Renew your membership

Our goal is to assist and empower those with barriers to accessing and benefiting from good healthy food.

To continue accessing GROW Market services, we kindly ask you to complete the form below and confirm your current household information.

This helps us ensure that our records are accurate and that the GROW Market program continues to be available for low-income households facing food insecurity in Niagara.

Membership Number

First name

Last name

Phone

Address

City

Postal Code

How many people live in your household?

Please list the year of birth for each member of your household, (including yourself).

What is your monthly household income, after taxes? Please include income from all adult members of your household.

Do you have any allergies/dietary restrictions?

Renew your membership

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