Lunch Money Day Participation Form

Please complete the form below if you or your organization would like to participate and a Second Harvest representative will contact you. We also have a pdf version of our participation form available for mail or fax.

* required items

Company Name*:
Mailing Address*:
Postal Code*:
City*:
President / CEO Name:
Telephone*:
Who will be your Lunch Money Day contact person/representative?
Name*:
Telephone*:
Ext:
Name (alternate contact):
Telephone:
Ext:
Fax:
Email Address*:
How many employees at your company?*
Your Fundraising Goal?
Will your company match donations?*	Yes No
*If yes, click here for company matching letter.
How did you hear about Lunch Money Day?*:
	Second Harvest Newsletter
	Toronto Life Magazine
	Radio
	Word of mouth
	Participated last year
Other
Would you like a Lunch Money Day representative to visit you and help with your campaign?*	Yes No
Lunch Money Day kits will be sent in February 2008
Would you like to receive a Lunch Money Day kit?*	Yes No
If you want to receive a kit, please indicate the quantity of items listed.
Lunch Bags:
Posters:
Stickers:
Collection Cans:
	Same as Last Year
(There is no charge for the above materials)
Raffle Ticket Books (10 tickets per book)
If you would like to sell raffle tickets as part of your campaign, please indicate how many books you would like. Each book has 10 tickets. Tickets are $5 each of 5 for $20
"End Hunger" Awareness Rings
"End Hunger" Awareness Wristbands
If you would like to sell these as part of your campaign, please indicate how many you would like. They are to be sold for a minimum donation of $2 each.
	No, I do not want to receive other information on Second Harvest.