Survey - Food From The Bar 2024 Registration - Los Angeles Regional Food Bank

1.

Please provide us with the primary coordinator contact information :

*

Name:

First Required	Last Required

*

Email: Required

If you respond and have not already registered, you will receive periodic updates and communications from Los Angeles Regional Food Bank.

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2.

Question - Not Required - Alternate contact: Name/ Title

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

3.

Question - Not Required - Alternate Contact Email Address

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

4.

Question - Not Required - Name of Firm/Organization (Please list full name that should be used on awards or press releases. Please let us know if we should include LLP etc.)

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

5.

Question - Not Required - Number of Employees (Include all employees at your Los Angeles County office/s)

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

6.

Question - Not Required - Address

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

7.

Question - Not Required - City/ State/ Zip

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

8.

Question - Not Required - Phone Number

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

*9.

Question - Required - We plan to donate funds
Please make 1 selection from the choices below.

	Yes
	No

*10.

Question - Required - We plan to participate with a Team Fundraising Page
Please make 1 selection from the choices below.

	Yes
	No

11.

Question - Not Required - If yes, please list the name of the coordinator if different from above.

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

12.

Question - Not Required - What is your monetary goal for your Team Fundraising Page?

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

13.

Question - Not Required - We plan on volunteering
Please make 1 selection from the choices below.

	Yes
	No

14.

Question - Not Required - If yes, who will be coordinating your volunteer shifts.

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

15.

Question - Not Required - We plan on hosting a traditional food drive.
Please make 1 selection from the choices below.

	Yes
	No

16.

Question - Not Required - If yes, how many boxes do you need?

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

*17.

Question - Required - We plan to promote the Campaign on Social Media

	Yes
	No

18.

Question - Not Required - If yes, please list your social media site links/handle

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

Food From The Bar 2024 Registration

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