ENVIROTOKENS

Envirotoken Program Application

Lazy Acres Market Evirotokens program was created with the commitment to support local, non-profit organizations working for the environment and to encourage shoppers to bring in and reuse grocery bags. Customers receive tokens worth 10¢ to give to local, non-profit organizations for each large grocery bag they reuse.

Twice a year, Lazy Acres Markets holds an in-store vote where our staff and community select non-profit organizations to benefit from the Envirotokens Program for the next 6 months. Please complete the application below to apply for a spot on the next election ballot. Thank you for being so interested in Lazy Acres Market’s Envirotokens program! Click  here  to learn about our current recipients.

Only local, non-profit groups working towards hunger relief, K-12 education, and environmental well-being are eligible to participate in this program.

Name of Organization *

Contact Person Name *

Contact Title *

Phone *

Email *

Address *

Address Line 2

City

State/Province

Zip/Postal

Federal Tax ID Number *

What is your organization’s purpose/mission statement? *

Please include the website address of your organization if applicable