Business/Organization Food & Fund Drive Registration

Company/Organization *

Number of Employees *

Branch/Department:

Food Fund Drive Coordinator/Contact Name *

Phone *

Email *

MAILING ADDRESS *

City *

State *

Zip Code *

What type of food/fund raiser are you planning? (select all that apply)

Virtual

Fund Drive

Volunteer Hours

Goal Amount? How much funds do you wish to raise? (We will include this goal on your personal fundraising page) If no goal, leave blank.

Food Drive Start Date: * +

Food Drive End Date: * +

Request a virtual presentation by Second Harvest staff? *

Yes

No

Request a tour or volunteer experience at Second Harvest? *

Yes

No

Will you have an online fundraising page? With our tools you can create a branded online donation page to highlight your company's commitment to feeding the community. Visit www.thefoodbank.org/hero and click on "Register Your Own Team" and follow the instructions. Then share, via social media, with your company and friends. It's a convenient way to raise meals. *

Yes

No

Will you be ordering supplies to be delivered? *

Yes

No

Supplies
(Please allow up to 72 hours for barrel pick-ups and exchanges and up to 4-5 business days for deliveries and keep in mind the busiest weeks for pick-ups are the weeks before Thanksgiving and Christmas).

	Qty Of Each Needed
Mini Barrels (counter top containers)	Qty Of Each Needed
Posters 11x17 limit 10Digital format also available.	Qty Of Each Needed
Flyers (8 1/2 x 11)	Qty Of Each Needed
Donation Envelopes	Qty Of Each Needed
-	Qty Of Each Needed

Delivery Location *

Delivery Day *

Delivery Date * +

Pick Up Day *

Pick Up Date * +

Special Delivery Instructions:

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