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2016 Scouting for Food • Collection Delivery Report
Please complete and return this information to the Council Service Center by Friday, November 27, 2016 or complete the paper form and fax to: 717-394-7776 or email it to Sal.Franqui@Scouting.Org
District *
Please select your district
District *
Please select your district
District *
Please select your district
Unit Type *
Unit Number *
Your answer
Name of Scouting for Food Contact *
Your answer
Phone Number of Contact *
Your answer
Email Address of Contact *
Your answer
Number of Participants (Total # participating in Bag Drop-Off and/or Pick-Up): *
Youth
Your answer
*
Adult
Your answer
Number of Items Collected: *
Your answer
Weight of Items Collected (in pounds): *
Your answer
Total Man Hours of Service (Total # participants x hours participating): *
Your answer
Do You Have Bags Left Over? *
If yes, how many?
Your answer
We delivered the food to: *
Your answer
Additional Information and Feedback:
Your answer
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