St. Mary's Food Bank Alliance
Food & Fund Drive Participation Form
(You may mail or fax your participation form to the Food Bank by downloading the
PDF format
or submit the form on-line by completing the following electronic version.)
Please choose one. My organization will hold:
A food drive only.
A fund drive only.
A food and fund drive.
Organization:
Name:
Address:
City:
Zip code:
Number of employees / students / members:
My Organization is best described as:
For-Profit
Non-Profit
School
Club
Event
Service Group
Other
Contact Name w/ title:
Phone Number w/ extension:
Email Address:
Alternate Contact Name w/ title:
Phone Number w/ extension:
Email Address:
We ask all participants to pick up boxes and deliver collected food in an effort to use the Food Bank's resources in the most effective manner. The Food Bank will provide pick up for those food drives that collect two or more boxes (at least 400 pounds) of non-perishable food.
Date(s) of Drive (mm/dd/yy - mm/dd/yy):
My organization will need (# in increments of 4)
posters and
boxes from the Food Bank. (Each box can hold up to 150 items or 150 pounds of food.)
My organization's goal is to raise
pounds of food!
Please choose one:
My organization will pick up supplies from the Food Bank on (date)
My organization requests the delivery of supplies. The Food Bank will notify me of available dates.
Please choose one:
My organization will deliver the collected food to the Food Bank on (date)
My organization requests the pick up of collected food. The Food Bank will notify me of available dates.
Please select all that apply:
Schedule a tour of the Food Bank.
Arrange for a Food Bank speaker to visit my organization.
Information on Hunger 101 sessions.
Volunteer at the Food Bank.
