Agency Meetings - RSVP - Food Bank of Eastern Michigan

Annual Agency Meetings Registration

RSVP by September 4th, and be eligible to win a Prize!

To register by mail or Fax: Print and Fax Form

September 18 at 8:00 a.m.

Old Town Outreach

600 Gratiot Ave.

Saginaw, MI 48601

Nicole Luczak 810-922-1274

September 26 at 8:00 a.m.

Food Bank of Eastern Michigan

2300 Lapeer Rd.

Flint, MI 48503

Trina Balow 810-396-0221

September 27 at 9:00 a.m.

University Center

80 Livingston Blvd.

Gaylord, MI 49735

Melissa Burns 810-922-1187

October 2 at 6:00 p.m.

Food Bank of Eastern Michigan

2300 Lapeer Rd.

Flint, MI 48503

Trina Balow 810-396-0221

October 4 at 10:00 a.m.

St. Paul Lutheran Church

200 N. Cedar St.

Imlay City, MI 48444

Heather Bearden 810-922-0849

Agency Name*
Agency Number*
Agency Mailing / Billing Address*
Street Address Address Line 2 City State ZIP Code
Primary Agency Contact Number*
Primary Agency Email*
Agency Admininistrator/ Director
First Last Title
Director/Administrator Email (if differs from above)
Director/Administrator Phone (if differs from above)
Will Agency Director/Administrator be attending?
- YES
- NO
Program /Distributions/Delivery Address ( if different from above)
If you have many sites from which you distribute, place the most frequently used location in this field. And contact your regional Outreach Coordinator to add supplemental addresses.

Street Address Address Line 2 City State ZIP Code
Venue*
Choose the site most convenient for your Agency.
Name(s) of those attending*
Number of attendees taking ServSafe training?
Number of attendees Interested in a tour of FBEM facilities?
Applies to Flint Venue attendees only, of course!
Please enter a value between 1 and 10.
Comments
How can we better support your agency? Feel free to address any questions/concerns in this space.
CAPTCHA