2017 Bounty Basket Application

Bounty Baskets are reserved on a first come, first served basis every year. Before applying for a basket, we ask that our community members assess their need in relation to how they may be harmed by or benefit from white supremacy.

Only 80 baskets are available, and sign-ups are recorded in the order they arrive. Baskets are limited to one per household. You will be notified by Thursday, November 16th if you will receive a basket.

Basket pick-up will be on Wednesday November 22nd from 4-7pm in the Community Room. The Community Room is located up a flight of stairs. it is accessible by elevator lift as well – just let a cashier know that you need to use it and they will help you.


Name *
Phone # *
Phone #
I prefer to be contacted by... *
I understand that there are only 80 baskets available. *
I understand that a waitlist of 20 people will be created after the 80 baskets are spoken for. *
I understand that I will be notified no later than Thursday, November 16th if I am receiving a basket. *
I will notify Peoples if I am no longer needing my basket or if I am no longer able to pick it up, so another person can receive it. *
I understand that basket pickup is Wednesday, November 22nd at Peoples from 4-7pm. *