Round Up at the Register Application

Fill out the form below to be considered for a 2025 Round Up at the Register recipient. The application will close August 30th at 4pm. All 501(c)(3) nonprofit organizations can apply, but priority will be given to those who were not a 2024 Round Up at the Register applicant and who do not have a sponsorship agreement with BriarPatch.

2025 Round Up at the Register recipients will be chosen and notified by December 1, 2024.

Address(Required)
Program Area (select category that best represents your organization)(Required)
More about your organization…
Select all that apply
How will funds raised be used?(Required)

Primary Store Location(Required)
Please include specific strategies, approaches, and activities
These values include an inclusive and resilient regional food system, an equitable and expanding cooperative economy, and a vibrant and sustainable organic, natural foods grocery store.
If your organization is NOT currently addressing this, what are the barriers, such as knowledge, financial restrictions, capacity, etc. that are preventing you from doing so?
Accepted file types: ai, pdf, eps, jpg, png, Max. file size: 50 MB.
Vector (.ai, .pdf, or .eps) preferred.
Please upload 3 to 5 high quality photos that show what your organization does and who it serves.
Drop files here or
Accepted file types: jpg, png, tiff, pdf, Max. file size: 50 MB, Max. files: 5.

    New Vendor Form and W9

    Please click the link and fill out the New Vendor Form and upload a W9.
    Check box to agree(Required)