Food Bank For New York City: Survey - Food Drive Registration Form

Thank you for your interest in raising food to support New Yorkers in need!

By running a traditional canned food drive you are holding a meaningful community event. As part of your food drive registration, you will also register for a Virtual Food Drive — a personalized fundraising web page that mirrors the food drive experience, including six aisles of food and Beyond Food items to shop through. Your Virtual Food Drive offers a way to give that stretches your donation to provide twice and even three times as much food as your dollar could purchase at the supermarket for a traditional drive.

To complete your food drive registration, follow the three quick steps below.

Click here to register for a Virtual Food Drive
Once your Virtual Food Drive registration is complete, copy and paste the URL of your personal Virtual Food Drive page into the form below
Complete the rest of the below form and submit

*1.

Question - Required - Enter the URL of your personal Virtual Food Drive here:

2.

Enter contact information for your Food Drive Coordinator here:

*

Name:

First Required	Last Required	Suffix

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Employer:

Yes, I would like to receive e-mail from Food Bank For New York City

3.

Question - Not Required - Fax Number:

4.

Question - Not Required - Number of Participants:

*5.

Question - Required - Our organization would like to help the Food Bank For New York City by (check all that apply):
Please make between 1 and 4 selections from the choices below.

	Collecting food to be picked up by the Food Bank (bins to be provided if necessary)
	Raising financial donations for the Food Bank's operations and food distribution
	Volunteering at the Food Bank
	Sponsoring Food Bank efforts

6.

Question - Not Required - Number of Food Bank Bins Needed:

7.

Question - Not Required - Delivery of Bins to Organization:

Month

Day

Year

8.

Question - Not Required - Pickup from Organization:

Month

Day

Year

9.

Question - Not Required - Additional Pickup/Delivery Date:

Month

Day

Year

10.

Question - Not Required - Please provide details for pickup/dropoff at loading docks or other secure areas. Without proper details, pickups/dropoffs can result in traffic violations incurred by Food Bank vans.

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

Our drivers make pickups and deliveries between 9am and 2pm, Monday through Friday. If your bin becomes more than 2/3 full, please request additional bins or use your own bins for the remaining food items. Each bin holds approximately 100 lbs of food.

11.

Question - Not Required - Other special instructions:

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

12.

Question - Not Required - Please provide the name, email and telephone number of the On-Site Coordinator, if different from above.

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