Register Round-Up Program

January Recipient: 360 Communities

Contributions help provide healthy food access aned resources for the 360 Communities Food Shelf in Burnsville.

Register Round-Up

Valley Natural Foods’ Round-Up Program allows customers to round-up their grocery bill to benefit organizations that share our values. A calendar of rotating monthly recipients is established annually. Recipients also receive donations through our Green Stamp Program. Through this program, shoppers can choose to donate 5¢ for every reusable bag they use.

Round-Up Recipient Application

The deadline for the 2020–21 application is April 15, 2020. New recipients will be contacted in June 2020.

Register Round-Up Application

Contact Name*
First Last
Organization*
Website*
Organization's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Name and address for check remittance*
- Same as above.
- Different as above.
Contact Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Is your organization a food shelf?*
- Yes
- No
Is your organization a 501(c)(3) nonprofit?*
- Yes (Please include certification below with submission)
- No
501(c)(3) Certification
Preferred Recipient Month (First Choice)
We will try our best to accommodate requests, however it is not guaranteed.
Preferred Recipient Month (Second Choice)
We will try our best to accommodate requests, however it is not guaranteed.
Tell us about your organization and mission.*
How do you plan to use round-up funds?*
Our cashiers usually have 10 seconds or less to describe the monthly round-up recipient to customers. In two sentences or less describe your organization and how the funds will be used.*
If chosen, how would you recognize Valley Natural Foods for this donation?*
Photos
Please provide images for promotional use in-store and online.
Drop files here or

Accepted file types: jpg, png.

Register Round-Up Program

January Recipient: 360 Communities