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Pennies Registration Information
 
How did you hear about Pennies for Patients 2010?*
School Name*
School Address*
City*
State*
Zip Code*
Contact Name(s)*
Contact Title(s)*
Email*
Phone Number*
Fax Number
Grade Levels*
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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