Social Service Agencies
As a partnered or non-partnered agency representative, you must complete a Client Referral Form on your client’s behalf.
You may download the client referral form from our website. Please click here.
Your client can drop off the form at any of our market locations where they will be issued a card. They will be able to start shopping immediately. Additionally, you can fax the completed form to the number listed on the referral form, or email it to firstname.lastname@example.org. Please allow two business days for us to process a faxed or emailed form. You can then instruct your client to come to any of our four locations, present valid identification, and obtain their card, which is good for three years from the pickup date.