Donor Participation Form
Primary Contact Name
*
First Name
Last Name
Donor Business/Organization (if applicable)
Primary Contact Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Is this phone number text-friendly?
*
Yes
No
Which holiday program would you like to participate in?
Feed-a-Family (November/Thanksgiving meal support)
Adopt-a-Family (December/holiday gift support)
Both programs
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Next
Feed-a-Family Participants:
Please answer the following questions if you are signing up for the Feed-a-Family holiday meal program.
Number of families you wish to support:
Please Select
1
2
3
4
5
Size of the family/families you wish to support
Small Family (1-2 people; approx. $65 commitment)
Medium Family (3-5 people; approx. $85 commitment)
Large Family (6+ people; approx. $125 commitment)
Comments:
NOTE: To ensure delivery of meals for all recipients, we are requiring donors to deliver food and/or gift cards before Nov. 14. Please click below to signify you are able to commit to this date.
*
I understand
Adopt-a-Family Participants
Please answer the following questions only if you are signing up for the Adopt-a-Family holiday gift program.
Number of families you wish to support:
Please Select
1
2
3
4
5+
Size of the family/families you wish to support
Small Family (1-2 people; approx. $150-$250 commitment)
Medium Family (3-5 people; approx. $375-$625 commitment)
Large Family (6+ people; approx. $750-$1,000 commitment)
Comments:
NOTE: To ensure delivery of gifts for all recipients, we are requiring donors to deliver items and/or gift cards before Dec. 12. Please click below to signify you are able to commit to this date.
*
I understand
Please sign, date, and submit this form
By signing, I am committing to providing the above support to the number of families I have indicated.
E-signature
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: