Food and Fund Drive Evaluation/Report Form

Business/Organization Name (Required)

Name of Event (Required)

Contact Name (Required)

Street Address or P.O. Box (Required)

City, State, ZIP (Required)

Phone Number (Required)

Email Address (Required)

Did you collect food or other goods? (Required) Yes  No

What items did you collect?

Did you collect money? (Required) Yes  No

Did you receive the support you needed to make your event successful? Yes  No

To which Hopelink center were the goods and/or money delivered? Bellevue  Kirkland  Northshore (Bothell)  Redmond  Shoreline  Sno-Valley (Carnation)

Please enter the date when you made the delivery to the Hopelink center.

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