ALL FIELDS ARE REQUIRED
Agency Interest Form
Organization Name
Federal Tax ID
Year Established
City
State
Zip Code
Type of Organization
Location/Chapter
Organization's Website URL
Description of Services You Provide
Is your agency available to receive bake deliveries on the weekend?
Would your organization be able to commit to providing a flexible delivery window during weekdays (and weekends if open), to maximize opportunities for volunteers to sign up for bakes?
Estimate of How Many Bakes Needed per Month
How Did You Hear About Us
Point(s) of Contact
Are you the main contact for your organization and able to sign a partnership agreement?
Primary Contact with Authority to Sign Partnership Agreement Is Required
Primary Contact First Name
Primary Contact Last Name
Job Title
Email Address
Primary Phone Number
