Neighborhood Food and Fund Drive Captain Sign-Up Form - Regional Food Bank of Northeastern New York

Please fill out the form below and follow these steps!

Contact Liz Hammond at (518) 786-3691 x220 to schedule a time to pick up your bags at the Regional Food Bank between Wednesday, April 9 and Friday, April 18.
Between Friday, April 18 and Wednesday, April 23, bags can be distributed to houses and apartments in your specified area.
Pick up the bags on your route on Saturday, April 26 starting at 9:00 a.m.
Deliver the bags to the Regional Food Bank on Saturday, April 26 between 9:30 a.m. and 2:00 p.m.

I will deliver my neighborhood's donations to the:

Captain Name(Required)

First Last

Organization/Company Name (if applicable)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Choose One(Required)

ZIP Code of Bag Distribution Area(Required)

Street Names of Bag Distribution Area(Required)

Number of Bags Needed (please round up to the nearest 10)(Required)

Preferred Bag Pick-Up Date(Required)

Bags will be available for pick-up at both our Albany County Distribution Center and our Orange County Distribution Center Monday-Friday between April 9 and April 18, 2025. Please choose the date you would prefer to pick-up your bags. Note: You will receive an email from our team, confirming that this date is available. Please choose a date at least 48 hours from now to allow our team time to process the bags. Thank you.

Preferred Bag Pick-Up Time(Required)

Please choose a time between 8:00 a.m. and 4:00 p.m. on the date you've chosen above. Thank you.

I will be covering more than one ZIP code(Required)

Yes

Please fill out a new registration form for each zip code and corresponding street name(s).