| Today's Date |
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| Food & Fund Drive Name |
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| Is your event open to the public? |
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| Food & Fund Drive Description |
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Drive Date(s) |
| Start Date |
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| End Date |
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| Time |
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Contact Information |
| Organization Name |
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| First Name |
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| Last Name |
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| Address |
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| City |
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| State/Province |
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| Postal Code |
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| Business Phone |
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| Fax |
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| Cell/Mobile |
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| Email |
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| Website address |
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Supply Requests |
| Boxes (2 1/2 feet tall, holds 150lbs of food) |
| Barrels (bright blue, about 3 feet high, and 1.5 feet in diameter, holds 250 lbs of food) |
Virtual Food Drive
Please send me more information about starting a Virtual Food Drive. See sample virtual drive.
If you would like to raise money online with a Virtual Food Drive, please provide the following information so that we can create a Web page for you. Please allow 2 business days to create your Virtual Food Drive. |
| Start Date of Virtual Food Drive |
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| End Date of Virtual Food Drive |
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Message to your participants to be posted on your Web page (no more than 400 characters):
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| Indicate colors (HEX, RGB, or CMYK if available) or fonts we should try to use to match the look of your drive: |
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Send logos, graphics, or a photo you want on the Web page to ksmallwood@secondharvest.org (gif, jpg, tif, or eps prefered) or upload the file.
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Donations Collected
Check all that will be collected.
money ($1 = 5 meals) non-perishable food
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Hours are Monday - Friday 8 AM-5 PM |
| Please indicate what date you will pick up supplies: |
| Please indicate what date you will deliver your donation: |
Please Indicate Other Areas of Interest |
| as part of your Food & Fund Drive |
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Food Bank Rep to speak with your organization.
Date Requested Time Requested |
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Comments: |
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