Join the Project as a Supporting Retailer!

While every link in the supply chain is important in ensuring the sustained availability of non-GMO choices, retailers are charged with increasing awareness of the GMO issue with both consumers and with vendors. Retailer endorsement and involvement is therefore critical to the success of the Project, and we appreciate your help!

About You

1. Store Name(required)
2. Number of Locations(required)
3. First Name(required)
4. Last Name(required)
5. Title
6. Address(required)
7. City(required)
8. State/Province Please select... Outside US/Canada ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory (required)
9. If not in US/Canada, please enter your mailing address in the "questions" box below
10. Zip/Postal Code(required)
11. Country(required)
12. Telephone
13. Email(valid email required)
14. Website

What you want to do

1. I would like to add my retail store(s) to the searchable database of Endorsers.
2. Please sign me up for the retailer e-newsletter
3. I would like to join the Project as a Supporting Retailer (unchecking this box will allow this form to be processed without a donation commitment)
4. Amount of Donation
5. Supporting Retailers are invited to join the Project for a tax-deductible donation of $150 plus $100 for each additional store location. Click here for more info on the benefits of becoming a Supporting Retailer.
6. Please select one
7. Please email me an invoice and I will mail a check Please process my donation with Google Checkout

 

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