Food Drive Registration Form
* Required
Email address
*
Your email
Group Sponsoring the Food Drive
Name of Group Sponsoring the Drive
Your answer
Food Drive Information
Event Start Date:
MM
/
DD
/
YYYY
(Optional) Event Start Time:
Time
:
AM
PM
Event End Date:
MM
/
DD
/
YYYY
(Optional) Event End Time:
Time
:
AM
PM
Please Describe Your Event: (Please include any theme or plan to collect a certain type of item. See
http://bit.ly/2R2iCky
for items needed most right now.)
Your answer
Food Drive Contact Person:
Name (First Name Last Name):
Your answer
Phone Number:
Your answer
Street Address:
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Food Drive Assistance
Would you like someone from the food pantry to contact you to discuss your food drive?
Choose
No
Yes
How many containers would you like to pick up? Please note that containers may run low during busy times. We will do our best to provide you with the amount of containers you would like.
None
1
2
3
4
5
more than 5
little boxes (12 1/2" x 20 1/2" and 11 1/2" tall)
big boxes (18" x 17 1/2" and 36" tall--collapsible to fit in most cars)
None
1
2
3
4
5
more than 5
little boxes (12 1/2" x 20 1/2" and 11 1/2" tall)
big boxes (18" x 17 1/2" and 36" tall--collapsible to fit in most cars)
Clear selection
How many publications about the Pantry would you like to pick up?
None
1
2
3
4
5
10
25
Food Pantry Brochures (http://bit.ly/2N6jDFZ)
Food Pantry Infographic (http://bit.ly/38SMcSJ)
Food Donation Sign-18x24 (http://bit.ly/373SeMX)
Food Pantry Sign-17x11 (http://bit.ly/3696hQc)
None
1
2
3
4
5
10
25
Food Pantry Brochures (
http://bit.ly/2N6jDFZ
)
Food Pantry Infographic (
http://bit.ly/38SMcSJ
)
Food Donation Sign-18x24 (
http://bit.ly/373SeMX
)
Food Pantry Sign-17x11 (
http://bit.ly/3696hQc
)
Clear selection
If your drive is open to the public, would you like us to promote it on social media such as Facebook?
Choose
No
Yes
Would you like us to post a public thank-you on on social media such as Facebook?
Choose
No
Yes
A copy of your responses will be emailed to the address you provided.
Submit
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