Food Drive Sign Up

* Denotes required fields.

Please check all that apply:
Yes! We would like to organize a food drive! (A resource guide will be sent to you.)
Our company would like to match every pound raised by our employees with $1.00.
We would like to organize a volunteer group to sort food.
We would like a presentation on hunger and poverty in our county.
We would like to donate $ (click to make a donation)
 
First Name*:
Last Name*:
Company/Organization*:
Street/Mailing Address*:
City*:
State*:
Zip Code*:
Contact Phone*:
Fax Number:
Email Address*:
Type of Organization:
Number of Employees:
Special Instructions or Request:
(250 characters maximum)

Alternate Delivery Address
Is the barrel delivery address different from the one above? Yes
No
Alternate delivery address
(if necessary):
Delivery Address:
Delivery City:
Delivery State:
Delivery Zip Code:
Cross Street*:
Business Hours*:
Barrel deliveries and pickups will be in lobby unless specified below. Please provide specific delivery instructions, including precisely where to deliver the barrels (e.g., loading dock, elevator, or entrance), and the building security protocol, if any.(250 characters maximum)*
 
Number of Barrels (barrels are about 3 feet high and hold 150 lbs. of food):

Barrel Order
There is a five-day window for barrel delivery and pickup.
Note: Sorry! the week of Monday, December 17, is fully booked. Please choose another week.

Date of Monday of your delivery week:
Date of the Monday of your pickup week:

Promotional Materials Request
Posters (max 10):
Flyer (one master):


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