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* 1. First and Last Name

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* 2. Please provide the mailing address for your toolkit:

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* 3. Date Toolkit Required

Date

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* 4. Please indicate the quantities you require for each item:

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* 5. I would like a representative from Second Harvest to virtually attend our Campaign Kick-off Event, and/or virtually speak at our office about Food Rescue and the impact of our support. *Please note as restrictions are lifting in person events are an option as per office policy.*

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* 6. I would like an online fundraising page setup to receive donations.

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* 7. What language would you like your materials in?

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* 8. How did you hear about the Second Harvest Hero campaign?

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