Food Drive Barrel Reservation

and Pick-Up Request Form

Thank you for your interest in coordinating a food drive. Please complete this
form and email it to: Marvin King, Kalamazoo Loaves & Fishes Warehouse
Director, marvin@kzoolf.org or fax it to 269-343-3669.
We will contact you prior to your event date to confirm your pick-up and to go over any
remaining details or questions.

Date of Event:

________________

Company/Organization Name: ____________________________________

Mailing Address: _____________________________________________
City/State/Zip:

_____________________________________________

Main Contact Name:

________________________________________

Email address:

________________________________________

Phone:

________________________________________

Delivery address:

________________________________________

City/State/Zip:

________________________________________

Nearest Cross Street:

________________________________________

Special instructions for driver: ____________________________________

____________________________________________________________
Overview of event:
____________________________________________________________
____________________________________________________________
Supplies requested (if applicable)
# of Barrels: _________
# of Generic Collection Posters: _________
# of Boxes: _________
Tape Gun: Yes _______

No ________

Other: _______________________________________________________
Requested Delivery Week*: (ex: 07/20/12)

______________

Requested Pick up Week*: (ex: 07/20/12)

______________

* Note: KLF will try to meet but cannot guarantee your requested delivery and pick-up dates.