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About School & Youth Participating Educators Program Coordinators Parents Students The LLS Mission Sponsors Donate To A School Sign Up Your School		Print page Email page * required fields Pennies Registration Information   How did you hear about Pennies for Patients 2011?* choose oneEmailMailPhone CallFaxFrom a staff member, parent or other schoolOther School Name* School Address* City* State* choose oneMinnesotaNorth DakotaSouth Dakota Zip Code* Contact Name(s)* Contact Title(s)* Email* Phone Number* Fax Number Grade Levels* Number of Students* What is your T-Shirt size? If you register before October 1, you will receive a T-Shirt!* choose oneSmallMediumLargeXLXXLXXXL What are your 2011 program DATES? Try to choose a time in January or February, because the official deadline for donations is March 18. However, you are welcome to participate anytime.* 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 and CLASSROOM THERMOMETER POSTERS (typically one per classroom) would you like?* How many large PENNIES BANNER 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."* How many INDIVIDUAL STUDENT COLLECTION BOXES would you like? Our chapter has been chosen to test the use of indiividual coin collection boxes to send home with each student.* Your 2011 Pennies for Patients Coordinator Kit, including the materials above, will be mailed to you in a Domino's Pizza box in December. If you requested the individual collection boxes, they will be shipped separately in December. Please let us know if you have any comments or questions. back to top last updated on 08/28/09

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