Back-to-School Food Drive Registration

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Company

Name

Phone

Location Name

Location Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does your facility have clearance/space for a 26-foot box truck to pick up your food donations? Please describe your front/back entrance.

Is your location open to the public for food donation drop-offs?

What are your public drop-off days and hours? (Example: Monday – Sunday, 9:00 a.m. – 5:00 p.m.)

Will you allow PBC Food Bank to capture photos to share for media purposes (e.g. social media, newsletter, website, etc.)

Will you need the Food Bank to provide bins? Each bin measures 18 x 18 x 30". If so, how many?

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