Exit this survey Greater Cleveland Food Bank 2016 Holiday Drive Sign-Up Question Title * 1. Drive Coordinator Information: Name: Title: Email Address: Phone Number: Question Title * 2. Organization Information: Organization Name: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Number of Employees: * Question Title * 3. Type of Organization: Please Select One Type of Organization Company Independent/Small Business Membership Association Nonprofit Organization Government Agency School/Educational Institution Civic Group Faith-Based Organization Other Type of Organization Please Select One menu Question Title * 4. President or CEO Information (for leadership and recognition events): Title: * Prefix: * First Name: * Last Name: * Email Address: Question Title * 5. Organization's Online Information: Website Twitter Handle Facebook Page Question Title * 6. Our drive will take place: Start Date: Date End Date: Date Question Title * 7. We are collecting: Monetary Donations *preferred donation; every $1 = 4 meals!* Food Donations Goal Question Title * 8. Additional Opportunities to Support the Greater Cleveland Food Bank: We will make a corporate gift in addition to our employee fundraiser Amount Question Title * 9. We are interested in learning more about: Becoming a matching gifts company Hosting a cause marketing campaign (for example: hosting a promotion in which a portion of proceeds benefit the Food Bank, or an opportunity for customers to make donations) Sponsoring a Food Bank event Participating in the Greater Cleveland Food Bank's end-of-year match, in which every dollar donated provides 8 meals to our neighbors in need Question Title * 10. Any other questions or comments? Done