CROP Hunger Walk Committee Roster
Walk Information
Walk Name *
City *
State *
Date *
MM
/
DD
/
YYYY
CWS Staff Contact Name
If you are working with a CWS staff person, please indicate their name here.
Local Anti-Hunger Agencies Supported *
Local Anti-Hunger Agencies: Percent of Walk Income Awarded *
Walk Coordinator(s)
Name *
Congregation or Organization:
Street Address (including city, state and zip code) *
Phone number *
Email Address *
Name
Congregation or Organization:
Street Address (including city, state and zip code)
Phone Number
Email Address
Treasurer
Name *
Congregation or Organization:
Street Address (including city, state and zip code) *
Phone Number *
Email Address *
Committee Members
Name
Congregation or Organization:
Committee Position Title
Clear selection
Street Address (including city, state and zip code)
Phone Number
Email Address
Name
Congregation or Organization:
Committee Position Title
Clear selection
Street Address (including city, state and zip code)
Phone Number
Email Address
Name
Congregation or Organization:
Committee Position Title
Clear selection
Street Address (including city, state and zip code)
Phone Number
Email Address
Name
Congregation or Organization:
Committee Position Title
Clear selection
Street Address (including city, state and zip code)
Phone Number
Email Address
Name
Congregation or Organization:
Committee Position Title
Clear selection
Street Address (including city, state and zip code)
Phone Number
Email Address
Additional Committee Members
Please include contact information and committee position title.
Submit
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