FOOD for Lane County - Food Policy Participation


Name:
Phone:
Cell:
Email:
Mailing Address:
Best way to contact you:
I am interested in...
BEING a Council member!
GETTING INVOLVED with people working on the following topics:
	Food Industry Economic Devt. Emergency/Disaster Relief Planning (Food Focused) Nutrition/Public Health Reducing Hunger Natural Resource use (land, water, etc.) Food System Assessment and Planning Farm to Cafeteria Permanent Farmers' Market facility
DONATING professional services to the Council.
	Please Explain:
DONATING funds (checks payable to FFLC/FPC)
STAYING UPDATED on Council activities.
REFERRING A FRIEND who would be a good council member.
	Please Explain:
GETTING MORE INFORMATION for my group/organization.
	Name of Group/Org:
OFFERING AN IDEA that might help the Council in some capacity.
	Please Explain:
Comments: