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Pennies Registration Information
How did you hear about Pennies for Patients 2010?
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choose one
Email
Mail
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From a staff member, parent or other school
Other
School Name
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School Address
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City
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State
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choose one
Minnesota
North Dakota
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Zip Code
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Contact Name(s)
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Contact Title(s)
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Email
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Phone Number
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Fax Number
Grade Levels
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Number of Students
*
What are your 2010 program DATES? Try to choose a time in January or February. The official deadline for donations is March 12.
*
Yes, our school is interested in: (check all that apply)
 
A Kickoff Assembly
 
Online fundraising
 
Raising funds in honor of a teacher/student:
 
 
Referring a school:
 
 
Pennies Materials Requested
How many COIN CANISTER LABELS (typically one per classroom) would you like?
*
How many large POSTERS would you like? They simply feature the Pennies for Patients logo.
*
How many PENNY PADS would you like? They come 50 sheets per pad and can be used to create a display or sold for $1 each and hung for a "Pennies Wall of Hope."
*
Your 2010 Pennies for Patients Coordinator Kit, including the materials above, will be mailed to you in a Domino's Pizza box in December. Please let us know if you have any comments or questions.
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last updated on 08/28/09
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