Food Supply Contribution

Let's grab some details to get your action on the record
This form should be super simple and take no more than five minutes.

Remember, you own the data that you record on the East Coast Exchange and any data that will be publicly displayed will have a 'Public' label below the field.
This food product was supplied by

IndividualOrganisation
Organisation
Public
Contact person*

Public
Email*
Phone number*
Are you completing this form on behalf of the individual or organisation?

YesNo
Enter your name

First NameLast Name
Enter your phone number
Yes, I have their consent to record this information`

YesNo - please get their consent before continuing

Tell us about the food product you have supplied

Public

If you know the end organisation who will be distributing the food please write their name in the notes section above.
Date goods were supplied

MonthDayYear
Public
Did you supply goods over more than one day?

YesNo
Date final goods were supplied

MonthDayYear
Location the food was supplied to or transfer site
Enter the address

How you like this to show up in the Contributions Record?
I would like to

Donate this food. Any Action Points I earn I would like to be donated back to the community effort.Earn Action Points that could be eligible for Programme funding.
Estimated value of the product
Public
What is fair compensation for these products?
Action Points
Public

Let's capture some quick info so we can verify this
Your points are only earned or donated if your actions can be verified so please supply high-quality evidence below.
Name and organisation of person who received the product
Contact details of person who received the product
Photos of food being received by the person or organisation

Make sure a photo shows the full volume of product provided. Please ensure location services are turned on when taking the photo so the location can be verified.
Cancelof
Upload any other relevant info e.g. invoices

Cancelof

I have read and agreed to the Exchange Rules.I understand there is no guarantee that I will receive any Programme funds at any time or that my donated points will be funded.
View the East Coast Exchange rules here.
Should be Empty:

Let's grab some details to get your action on the record