Foodbank Victoria – Expression of Interest

Section 1: Acknowledgement

Food and other products supplied by Foodbank Victoria must be distributed by way of programs designed to alleviate food insecurity.

Food or products received from Foodbank Victoria cannot be sold to people seeking food relief or other organisations as per Foodbank Victoria's terms and conditions.

Please ensure you have read and agree to Foodbank Victoria's Terms & Conditions before submitting this form.

I understand and agree to Foodbank Victoria's Terms & Conditions.

YesNo

Section 2: Organisational Information

Organisation Name

Organisation ABN

You require an ABN to register as a Foodbank Victoria partner

Does your organisation have public liability insurance?

YesNo

Is your organisation registered as a charity by the Australian Charities & Not-for-profits Commission?

YesNo

In which Local Government Area is your main operation located?

Please select one. If unsure search here - https://maps.vec.vic.gov.au/

Section 3: Contact Information

Primary Contact

Please provide the details for the Manager / Coordinator of your food relief program.

First Name of Primary Contact

Last Name of Primary Contact

Position in the Organisation

Email Address

Mobile Phone Number

Address of Program Operations

Street number and name (No PO Boxes)

Where is your physical program based?

Suburb

State

Postcode

Delivery or food storage address

Street number and name (No PO Boxes)

Suburb

State

Postcode

Office Phone Number

If not applicable leave blank

Do you have a different billing address?

YesNo

Billing address

Street number and name (No PO Boxes)

Suburb

State

Postcode

Secondary Contact

Please provide the details for a secondary contact for your food relief program.

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Position in the Organisation

Secondary Contact Email

Secondary Contact Phone Number