NEW First Time Registration Form 🟠Update My Current Information🟡 Stop Donations – Remove My Information Location Type(Required)Select which type of location you are registering:FarmSanctuary / RescueFarm or Sanctuary Name(Required) Farm or Sanctuary Address or Drop Off Location(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code ADDRESS DISPLAY(Required)We require your address for validation of your submission. However, if you DO NOT wish to have your full address displayed or linked to on the website, please indicate below. ONLY your City, State and ZIP will be displayed and you will NOT appear on the map. YES: Display my address on the PumpkinsForPigs.org website. NO: DO NOT DISPLAY my address on the website (ONLY your City, State and ZIP will be displayed). Contact Name(Required) First Last Phone(Required) Email(Required)Verify your email address is correct. If we are unable to contact you via email, your farm/sanctuary will NOT be added to our donation list and you will have to resubmit. Enter Email Confirm Email We verify each farm or sanctuary. What is the easiest way for us to reach out?(Required) Email Phone Visit Select AllHow did you hear about us? Facebook Instagram Friend Print Media Online Article Radio Google Search Bing Search OTHER (please list below) OTHER - How did you hear about us?Please let us know how you found PumpkinsForPigs.org if not listed above. Feel free to list any additional information for the items checked above.ACCEPTED DONATIONSWILL ACCEPT the following: Pumpkins Pumpkins (including carved) Gourds Acorns Fruits Vegetables Bread (not moldy) Brewer's Grains Hay Straw Christmas trees Corn Stalks Non-Food Items: Kiddie Pools OTHER ITEMS (please list below) Select AllLIST OTHER ITEMSWEBSITE LINKSMy WEBSITE AddressIf your site is not secure, please remove the httpS:// and type in http:// at start of your website address. My Facebook URL My Instagram URL My Flickr URL My YouTube URL My TikTok URL INSTRUCTIONS FOR DONATIONSCALL AHEAD - Do you require individuals to call ahead to ensure you are still accepting the listed items?(Required) YES NO DROP OFF INSTRUCTIONSIf you do NOT require individuals to call ahead, WHERE do you want them to drop off items (e.g., end of driveway).WE will PICK UP(Required) YES NO We will allow FEEDING THE ANIMALS directly with or without our presence. YES - WITH our presence. YES - WITHOUT our presence NO ADDITIONAL INFORMATIONPlease let us know any additional information you'd like to provide.FOOD RECLAMATION OPPORTUNITIES YES, I am interested in food reclamation opportunities in my area as they become available. This may include pick ups from local pantries of produce, bakery items, and expired canned goods (within the last 3 months). PRIVACY NOTIFICATIONPLEASE NOTE: We do not sell website links or email address to anyone.Submission Agreement(Required) I AGREE to having my information (as submitted by this form) published on the PumpkinsForPigs.org website. CAPTCHA
