AutoGive is a supermarket loyalty program that is simple and convenient! It is the ultimate way to shop and give automatically - at no personal cost to you - when you shop at any Pathmark!

Just use your Pathmark Advantage Club (PAC) card every time you shop at any Pathmark and you will earn a 1% cash donation for us on every penny you spend! If you don’t have a card, please go to the Courtesy Desk and receive one. It can be used immediately to AutoGive. With AutoGive you will still receive all your rebates from regular or clipless coupons.

Date_______________ Name___________________________________________________________

Street_________________________________ City, ST, Zip___________________________________

Email___________________________________ Phone #______________________________________
*NOTE: When you register above, you will automatically be given a personal MyEPC page at www.EveryPennyCounts.com. At the Login page, you will be asked to put in your Email or Phone# to access your temporary User Name and Password.
                                                      
PAC card#  (First 11 digits begins with “4 5” or “4 7”)    4   __   __  __   __  __   __  __   __  __   __
 
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   Pennies, just Pennies!   Please indicate the other ways you may want to help us!

This is a survey only — you are not committing yourself!  After making your selections, to read about the excitement of Every Penny Counts (EPC), please go to www.EveryPennyCounts.com and see how you can “Passionately take better care of yourself and others - one penny at a time!”

PowerPennies/CreditCard Would you have your card issuer round up your charges with pennies to the next dollar and send us the “marching pennies”? Yes ___ No  ___

CharityCoins Would you leave us any part of your spare change at the cash register? Yes ___ No  ___

PowerPennies/Checking Would you have your checking transactions, with pennies, rounded up by your bank at the backend to the next dollar and have the “passionate pennies” sent to us?  Yes ___ No ___

CouponShare Would you share some of your manufacturer/supermarket coupons with us? Yes __ No __

“CaringGift” Card Would you elevate the gift cards that you give to a “caring” status by adding in a small donation for us? Yes ___ No  ___

                           Go to www.EveryPennyCounts.com to see all the excitement!
                     Please return form to ABC Nonprofit, 123 Any Street, Any Town, NJ, 12345
                                             Thank you, John Doe, Fundraising Coordinator

Go to www.EveryPennyCounts.com for additional information or call 732-450-2424.
AutoGive is administered by Every Penny Counts, Inc., (EPC) Red Bank, NJ.