Allison Rose Foundation Community Feedback and Involvement

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* 1. What is your connection to the Allison Rose Foundation?

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* 2. What is your connection to the food allergy community?

I have food allergies

I love someone with food allergies

I treat/educate/help people with food allergies

Other (please specify)

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* 3. Would you like to get involved? If so, please identify which committees or activities you’d be interested in.

Education

Awareness/Marketing/PR/Social Media

Fundraising

Event Planning

Legislation/Advocacy

Research

Other (please specify)

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* 4. Is there anyone else you think we should contact because of their passion for the cause? Please share name, email and reason.

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* 5. Any other feedback/comments?

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* 6. Your Name and Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number