Food Drive Request Form

Organizational Information
Organization Name*
Point of Contact Name*
Address
Mailing Address Address Line 2 City State ZIP / Postal Code
Phone*
Email*
Food Drive Information
Food Drive Name (Optional)
Is this part of a larger food drive?*
- Yes
- No
Number of Barrels Needed**
To be the best possible stewards of our resources a barrel pick-up requires a minimum of 5 full barrels at a single location. Our barrels are 32 gallons and usually hold about 100 pounds of food.
Food Drive Start Date*
Date Format: MM slash DD slash YYYY
Food Drive End Date*
Date Format: MM slash DD slash YYYY
Date you plan to pick up barrels between 7:30am-4:00pm Mon-Sat
Date Format: MM slash DD slash YYYY
Date you plan to return the barrels during the same hours as above?
Date Format: MM slash DD slash YYYY
Acknowledgement Information - Who Should We Thank?
Name
First Last
Address
Mailing Address Address Line 2 City State ZIP Code
Please remember to tag Food Bank of Alaska on anything you post on Facebook, Twitter, and Instagram. Thank you!
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Organizational Information