Berkeley Food Policy Council Signup Form
First Name *
Last Name *
e-mail *
Title
e.g. Development Director, Volunteer, Sales Manager, etc.
Affiliation
Business or organization you work for (e.g. Ecology Center, Berkeley Youth Alternatives, etc.)
Office Phone
e.g. 510-548-2220, 510-527-5555
Cell Phone
e.g. 510-548-2220, 510-527-5555
Street Address
e.g. 2530 San Pablo Ave.
City
Zip Code
e.g. 12345, 12345-6789
Click "Submit" to join the food policy council listserv!
Submit
Never submit passwords through Google Forms.
This form was created inside of Ecology Center.