We’re so glad we can offer this Community Discount to those who need it! We recognize that some people might need the discount but don’t have any of the qualifying factors listed on the Community Discount form. If you feel you need the discount to be able to shop with us, please fill out the form below. We will take a look at it and determine whether we can extend the discount to you. A manager will be in touch with our decision after you submit the form, and we will go from there.

Any questions? Reach out at community@berkshire.coop or (413) 528-9697

Name

First Name

Last Name

Phone

(###)

###

####

How would you like to be contacted?

Phone

Owner Number (if applicable)

Tell us about why you need the discount.

This is a judgement free zone. Anything you write about here will remain confidential among the deciding managers. We understand this topic can be hard to talk about, but we want you to feel comfortable and safe with us. We assure you that your information will remain private.

I have read and agree to the terms of use for the Community Discount that are stated on the .pdf form. I acknowledge that checking this box serves as my electronic signature and holds the same weight as signing the Community Discount form in person. I understand that submitting this form does not guarantee that I will receive the Community Discount, and that I will receive the discount at the discretion of BFC management. I understand that I will be contacted with management's decision after I submit this form.

Yes, I agree.

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