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Tell us about your Farmers Market Visit!
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
I Am:
(Required)
ASSOCIATE
RETIREE
CONTINGENT OR CONTRACTOR
HONDA SPOUSE OR DEPENDENT
OTHER
Wellness Center Affiliation
(Required)
Associate Wellness Center – AEP
East Liberty Wellness Center – ELP
Watson Wellness Center – MAP
ADC Recreation Center – ADC
TMP-O Activity Center - TMP-O
AHM Fitness Center – Torrance, California
OTHER (Please Specify Below)
Specify Other
Date that you attended a Farmers Market:
(Required)
MM slash DD slash YYYY
Share which Farmers Market location you attended:
(Required)
Optional BONUS raffle entry opportunities:
1 additional raffle entry per response!
If you purchased anything, share at least one item that you purchased at the Farmers Market
Share a picture of a food item or other locally produced item you purchased at the Farmers Market
Max. file size: 64 MB.
Share a picture of a prepared meal or snack that you enjoyed with items that you purchased at the Farmers Market.
Max. file size: 64 MB.
