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Save Your Receipt Points For Your Earn Cash School cwLblsFrLrngSchlBk081210 Save Your Receipt Points FOOD CLUB Labels For Learning New Participant Registration Form If you have already registered you do not need to fill out a new form. Today’s Date ____________________________________________________________ Labels For Learning Coordinator Contact Name: __________________________________________________________ Contact E-mail Address: __________________________________________________ Contact Mailing Address: _________________________________________________ City: _________________State ____________ Zip ______________________________ Contact Phone Number: _________________________________________________ School/Organization Information School/Organization Name: ______________________________________________ School/Organization Mailing Address: _____________________________________ City: _________________State ____________ Zip ______________________________ School/Organization Phone Number: ______________________________________ School/Organization Type (Please Circle One) Public Private Parochial Other School Level (Circle All That Apply) Preschool Elementary Middle Jr. High High School Please mail or fax this form to: Coborn’s Inc. Janet Baker P.O. Box 6146 St. Cloud, MN 56302 Fax: 320-203-6237 FOOD CLUB Labels For Learning Save Your Receipt Points Today’s Date ____________________________________________________________ Cash Wise is committed to the success and support of your “Labels for Learning” program. Below are program awareness materials available for you to use. Please send this order form via mail or fax. Allow 2-4 weeks for delivery of materials. School/Organization Information School/Organization Name: ______________________________________________ School/Organization Mailing Address: _____________________________________ City: _________________State ____________ Zip ______________________________ School/Organization Phone Number: ______________________________________ Parent Letters Qty Needed:_____ Posters 11”x17” Qty Needed:_____ Limit 6 Please Please mail or fax this form to: Coborn’s Inc. Janet Baker P.O. Box 6146 St. Cloud, MN 56302 Fax: 320-203-6237 Materials Order Form Please make copies of this form for future orders. Save Your Receipt Points FOOD CLUB Labels For Learning Today’s Date ____________________________________________________________ Please include this completed form along with all receipts. Please mail to: Coborn’s Inc. Janet Baker P.O. Box 6146 St. Cloud, MN 56302 School/Organization Information School/Organization Name: ______________________________________________ School/Organization Mailing Address: _____________________________________ City: _________________State ____________ Zip ______________________________ School/Organization Phone Number: ______________________________________ Calculating Rewards Number of TOTAL POINTS: ________________________________________________ x.01 = ________________________________________________ Register receipt points need to be in bundles of 2,500 points each. Shipping Costs All postage charges are the responsibility of the organizations or its representative. Cash Wise cannot be held responsible for lost, stolen or misdirected packages. Cash Rewards Checks will be made payable to the school/organization on the redemption form. (No personal checks) Please allow 4-6 weeks for your check to arrive. Redemption Form Please make copies of this form for future redemption. Save Your Receipt Points FOOD CLUB Labels For Learning 11”x17” School Poster Sample Save Your Receipt Points For Our Earn Cash School It’s as EASY as... 1. Purchase Food Club, Top Care, Paws, & Full Circle items and receive Labels For Learning points on your receipt. 2. Drop the receipt points in our school’s designated collection box. 3. Cash Wise will redeem them for money that goes to our school! Sample of Receipt with Labels For Learning Points cwLblsFrLrngSchlPstr081210 Save Your Receipt Points FOOD CLUB Labels For Learning Cash Wise Store Contacts Coborn’s Inc. Corporate Office 1445 Highway 23 E St. Cloud MN 56304 (320) 252-4222 Janet Baker Coordinator janet.baker@cobornsinc.com andy.knoblauch@cobornsinc.com Cash Wise Foods Shane Theisen 1300 5th St SE Willmar MN 56201 (320) 235-2485 Cash Wise Foods Larry Warhol 113 Waite Ave S Waite Park MN 56387 (320) 259-1308 Cash Wise Foods Glenn Woelfel 1020 Highway 15 S Hutchinson MN 55350 (320) 587-7655 Cash Wise Foods Tim Rhode 1401 33rd St S Fargo ND 58103 (701) 237-4120 Cash Wise Foods Brad Johannes 1220 Westridge Rd New Ulm MN 56073 (507) 354-2717 Cash Wise Foods Tim Cegla 495 W North St Owatonna MN 55060 (507) 451-7220 Cash Wise Foods Greg Jaroszewski 3300 Highway 10 E Moorhead, MN 56560 (218) 236-4910 Cash Wise Foods Jim Polk 1144 E Bismarck Expy Bismarck ND 58504 (701) 223-8771 Cash Wise Foods Philip Rosenberger 250 33rd Avenue South St. Cloud, MN 56301 (320) 255-9193 Cash Wise Foods Chris Happke 1001 4th Street South East St. Cloud, MN 56304 (320) 253-1322
