Register a Hunger Relief Organization

Complete this form so we can set up your account. Items with an asterisk (*) are required information.

Any Questions / Need Help? Email theteam@givehealthy.org
Organization Name*
Type*
Other type (not listed above)
Write in your organization type.
Hunger Relief Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Contact for Food Drives*
Who is the organization's person for groups conducting food drives?
First Last
Primary Contact Email*
Primary Contact Phone*
Food Delivery Contact*
Who at the organization coordinates food drive deliveries?
First Last
Food Delivery Contact Email*
Food Delivery Contact Phone
Food Delivery Address (if different from main address)
If there are more delivery addresses, add them in the comments section.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Description / Mission
What is your organization's mission and why does healthy food matter?
Drive Page Content
We'll use this for a standard branded food drive web page for your organization.
Hunger Relief Organization Logo
This optional graphic is used in the main drive image. For best quality use an image at least 450 pixels by 255 pixels.
Accepted file types: jpg, png, gif, Max. file size: 5 MB.
Comments / Requests
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