Lunch Money Day Participation Form

Please complete the form below if you or your school 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
School name*:
Mailing Address*:
Postal Code*:
City*:
School Principal name:
Telephone:

Who will be your Lunch Money Day contact person/representative?
Name*:
Telephone*:
Name (alternate contact):
Telephone:
Fax:
Email*:
Your Fundraising goal:

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)

"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.
	No Information