SurveyMonkey Powered Online Survey

Yes, we want to join Mid-Ohio Foodbank in the fight against hunger next spring by participating in the community-wide Operation Feed Campaign!

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Sponsoring Organization

Organization Name (as it should appear in recognition): *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

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Type of Organization


Please select one.	Please select one. menu

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Industry / Sector

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Number of Employees or Members (for goal-setting & per capita awards)

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Campaign Coordinator Information

First Name:

Last Name:

Email Address:

Phone Number:

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Campaign Time Frame (approximate -- program runs March-June)

Start Date

Date

End Date

Date

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Communications / Social Media Information (to help us highlight your organization's philanthropic involvement)

Communications Contact (First Name):

Communications Contact (Last Name):

Communications Contact (Email):

Organizational Web Page URL:

Organizational Twitter Handle:

Organizational Facebook Page Address:

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President, CEO or Top Local Official (for leadership events, recognition)

Prefix

First Name

Last Name

Title

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Communications & Outreach Options

	Yes
We are interested in online donating--please build a "Friends & Family Fundraising" page for our group.	We are interested in online donating--please build a "Friends & Family Fundraising" page for our group. Yes
I am coordinating a campaign for the first time.	I am coordinating a campaign for the first time. Yes
I'd like to schedule my group for a tour of Mid-Ohio Foodbank.	I'd like to schedule my group for a tour of Mid-Ohio Foodbank. Yes
Please contact me about scheduling an Operation Feed representative to visit our meeting/campaign event.	Please contact me about scheduling an Operation Feed representative to visit our meeting/campaign event. Yes
I'm interested in sharing my Operation Feed experience by serving on Mid-Ohio Foodbank's Speakers Bureau.	I'm interested in sharing my Operation Feed experience by serving on Mid-Ohio Foodbank's Speakers Bureau. Yes

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Please add these committee members to the Operation Feed email list:

Contact 1 - Name

----------------- Email

Contact 2 - Name

----------------- Email

Contact 3 - Name

----------------- Email

OPERATION FEED CAMPAIGN REGISTRATION (March-June, 2014)

Question Title

Sponsoring Organization

Question Title

Type of Organization

Question Title

Industry / Sector

Question Title

Number of Employees or Members (for goal-setting & per capita awards)

Question Title

Campaign Coordinator Information

Question Title

Campaign Time Frame (approximate -- program runs March-June)

Question Title

Communications / Social Media Information (to help us highlight your organization's philanthropic involvement)

Question Title

President, CEO or Top Local Official (for leadership events, recognition)

Question Title

Communications & Outreach Options

Question Title

Please add these committee members to the Operation Feed email list:

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Please contact the following organizations to discuss participation in Operation Feed (enter names and contact information).