Schedule your food drive!

Complete this form and return to: Dare to Care Food Bank, 5803 Fern Valley Road, Louisville, KY 40228 Fax: 502.966.3827; joey@daretocare.org

Organization Name: Address: City, State, Zip: Contact Person: Phone: Dates of Food Drive:
Number of boxes needed: Requested box delivery date:

Email: to
Number of posters needed: Requested food pick-up date:

*Please contact Joey Stinson at 502.736.9415 to confirm your food pick-up date for food drives over 240 pounds (about 6 Dare to Care boxes or more). If you collect less than 240 pounds, please deliver the food to Dare to Care to help us save on fuel costs.

Notes:

Questions? Contact Joey Stinson, Food Drive Coordinator, at 502.736.9415 or joey@daretocare.org.

.... # Collected: Box drop-off driver: Virtual food drive URL: Signature of box recipient: Cash: __ Pick-up driver: Donor ID:

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