Apply | Restart

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Apply For Membership

To apply for membership of Restart Social Supermarket please complete the information requested below and hit the "apply" button. We will respond as soon as we can, and if your membership is approved we will provide information on how to access the online shop.

If your circumstances are such that you cannot afford the weekly membership fee of £2 per person, then please use the "Further information" section to let us know, and we will consider whether the membership fee can be waived for a period.

The information provided will be reviewed by our team and will at all times be held and processed in accordance with our privacy policy.

First Name

Email

Last Name

Phone

Address (including postcode)

How many adults are in your household?

How many children are in your household?

Approximately how much are your monthly bills as a household? Include things like rent, mortgage, utilities, car payments, loan & other debt costs.

Are there any other circumstances you would like to tell us about?

Please note that by submitting this application you agree that you have read the membership information on the home page which is available here and that the information you have given us in this application is not deliberately misleading.

Thanks for submitting!

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