Change adds up at the register!

Round Up at the Register Application

Fill out the form below to be considered for a 2027 Round Up at the Register recipient. The application will close August 28th at 4pm. All 501(c) nonprofit organizations can apply, but priority will be given to those who were not a 2026 Round Up at the Register recipient and who do not have a sponsorship agreement with BriarPatch.

2027 Round Up at the Register recipients will be chosen and notified by December 1, 2026.

2027 Round Up Recipient Application

This field is for validation purposes and should be left unchanged.
Contact Person(Required)
Address(Required)
Program Area (select one that best represents your organization)(Required)
Which community does your nonprofit primarily serve?(Required)

More about your organization
Select all that apply.
How can we help? Please describe the issue.
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.
Accepted file types: ai, pdf, jpg, png, Max. file size: 30 MB.
Please upload 3 to 5 high quality photos that show what your organization does and who it serves. Only share photos that are approved to be posted on our social media, website, and in-store. Minimum size: 1200 pixels
Drop files here or
Accepted file types: pdf, jpg, png, tiff, gif, Max. file size: 30 MB, Max. files: 5.

    New Vendor Form & W9

    Please click the link and fill out the New Vendor Form and upload a W9. If you’ve filled out the online New Vendor Form in 2024-2026, then you do not have to do so again.
    Fill out New Vendor Form and W9 here
    Check box to agree(Required)