Shared Kitchen New Member

What is your company name? *
Name Name * First Last
Phone Phone * - ### - ### ####
Email *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you currently have a social media presence? What platforms you are using?
Web Site
Do you have a corporation formed?

Do you have a corporation formed? Yes No
Do you have Liability Insurance?

Do you have Liability Insurance? Yes No
Do you have food industry experience?

Do you have food industry experience? Yes No
How did you hear about PREP?

How did you hear about PREP? Google Search Social Media Press articles or media Friend, family member, colleague Current or former Member Other Other
Please provide more detail on your answer above - name person who referred you, what google search led you to us, etc.
How long have you been in business:

How long have you been in business: Just started 1-2 years 3-4 years More than 4 years What kind of time commitment are you making to this business?
How much time are you dedicating to this business? *

How much time are you dedicating to this business? Full Time Part Time Hobbyist
How would you describe your product? (if applicable?) *

How would you describe your product? (if applicable?) Bakery items Jams/jellies Sauces/salsa Chilled fruit/vegetable Frozen fruit/vegetable Dehydrated fruit/vegetable Canned fruit/vegetable Condiments/spices Catered events Frozen meals Meat products Candies Pasta Dry mixes Beverages Cold prepared meals Hot meals Other Other
How do you want to sell your food?

How do you want to sell your food? Retail - Direct to Consumer Wholesale - In stores/restaurants/etc Other Other
Are there any special process involved with your production?(smoking, canning, sous vide cooking, etc..)

Are there any special process involved with your production?(smoking, canning, sous vide cooking, etc..) Yes No If yes, please describe If yes, please describe
Estimate the frequency you would use the kitchen

Estimate the frequency you would use the kitchen Daily Weekly Other Other
Are you currently selling a food product or service?

Are you currently selling a food product or service? Yes No
How many people will be working at one time? *

How many people will be working at one time? 1-3 4-6 Other Other
Have you ever used a Shared Kitchen? *

Have you ever used a Shared Kitchen? Yes No
If you have a Logo, Please add(preferred PDF, JPG)

Attach Files
Are you ServSafe Certified *

Are you ServSafe Certified Yes No
If ServSafe Certified, please attach a copy of your certificate

Attach Files