HungerBites.org

Hunger Action Month Video Contest Registration Form
(Due no later than 11:59pm on September 30, 2009)


Name:
Video Title:
YouTube URL:
High School/College:
Grade:
Age:
Address:
City:
State:
Zip:
Telephone:
Email:
	By submitting this registration form and video entry you agree to the contest rules and guidelines set forth by the Central Pennsylvania Food Bank. Click Here to read the rules.


You may fax (717-561-4636), email (tdavis@centralpafoodbank.org) or mail (Attention: Tara Davis, Central PA Food Bank, 3908 Corey Road, Harrisburg, PA 17109) this form. Any questions, please call 717-564-1700 x3024.