Business/Organization Food & Fund Drive Registration

Company/Organization *

Number of Employees *

Branch/Department:

Contact Name *

Phone *

Email *

MAILING ADDRESS *

City *

State *

Zip Code *

SHIPPING ADDRESS (if different from mailing address)

City

State

Zip Code

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

Food Drive

Fund Drive

Volunteer Hours

Food Drive Start Date: * +

Food Drive End Date: * +

Request a presentation by Second Harvest staff

Will you have an online fundraising page? With our tools you can easily create a professional donation page to share on social media, with your company and friends. Convenient way to raise meals. Contact Aracele@thefoodbank.org to set up an online fundraising page. *

Yes

No

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.

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
Collection Barrels (holds 125lbs)*	Qty Of Each Needed
Red Bucket (holds 75 lbs)	Qty Of Each Needed
Counter top cash and change container	Qty Of Each Needed
Posters (12x18 limit 10.) Digital format also available.	Qty Of Each Needed
Donation Envelopes	Qty Of Each Needed

COLLECTION BARREL UPDATE
If you are requesting a barrel delivery and pickup we ask that you commit to collecting at least one full barrel, a minimum of 125 pounds.

Delivery Information:
DELIVERIES WILL BE SCHEDULED ACCORDING TO YOUR LOCATION. Please allow up to 72 hours for barrel pick-ups/exchanges and up to 4 to 5 business days for deliveries. Thank you.

Delivery Location *

Delivery Day *

Delivery Date * +

Pick Up Day *

Pick Up Date * +

Special Delivery Instructions:

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What activities/promotions do you have planned to reach this goal?