Survey - Virginia Peninsula Foodbank Food and Fund Drive

Virginia Peninsula Foodbank Food and Fund Drive

Question - Required - Select Option Which Best Describes Your Fundraising Event

STEP 1: Provide Primary Contact Information


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
	Phone Number:
	Yes, I would like to receive e-mail from Virginia Peninsula Foodbank
	Yes, I would like to receive postal mail from Virginia Peninsula Foodbank

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*	User Name: Required	5 to 60 characters
*	Password: Required	12 to 99 characters
*	Repeat Password: Required

Question - Not Required - Organization Name

Question - Not Required - If a Business, Hours of Operation

Question - Required - STEP 2: Select A Start Date for Your Food Drive

Month

Day

Year

Question - Not Required - Select an End Date for Your Food Drive

Month

Day

Year

Question - Not Required - Name/Description of Event

Question - Required - STEP 3: Are you able to pick up your supplies at the Foodbank during our hours of operation? If you are unable to, email mmeulenberg@hrfoodbank.org to discuss other accomodations. You picking up your supplies is a part of your donation and allows more funds to go to purchasing food.

Question - Required - What size boxes do you need?

	Regular - 19.5 x 10 x 13 (holds about 25 items)
	Large - 18-5/8 x 18-5/8 x 24-7/8 (holds about 80 items)

Question - Not Required - Number of Boxes Needed

Question - Not Required - Number of Monetary Containers Needed

Question - Not Required - Number of Posters Needed

Question - Required - Select your option for collection method.

We have 20 items or less and will drop off at one of the drop off locations listed on the website, http://hrfoodbank.org/drop-off-locations/

We have 300 items or less (3 large boxes or less filled) and will drop off our donations at the Foodbank between 8 a.m. and 4 p.m. Monday through Friday.

We have over 300 items (4 large boxes or more filled) and will drop off our donations at the Foodbank between 8 a.m. and 4 p.m. Monday through Friday.

We have over 300 items (4 large boxes or more filled) and request that the Foodbank pick up our donations. We understand it can take up to one week for a pick up.

Question - Not Required - Special Request, Instructions or Information

(Maximum response 255 chars, approx. 5 rows of text)

If you would like to create a customized fundraising page to send to your friends, family and co-workers Start Here. For every dollar raised, we can provide four meals.

If you need accommodations outside of our normal business hours or other instances, please contact our Community Engagement Coordinator Moriah at mmeulenberg@hrfoodbank.org.