“Put your pennies to work and help
ABC Elementary School”
Please fill out this form or go online to: www.everypennycounts.com and click on Individuals & then click on “Taking Care of Others” to enroll. Remember when your are online select “ABC Elementary” as your nonprofit.
Pennies, just Pennies!
Please tell us the EPC Services that interest you!
(1) PowerPennies/CreditCard – Would you be willing to have your credit card transactions, with pennies, rounded up to the next dollar and have the “marching pennies” forwarded to us?
Please tell us: Type of Card (VISA, MasterCard, AmEx, Discover) _________________________
Bank Issuer ____________________________________.
(2) PowerPennies/Checking – Would you be willing to have your checking transactions, with pennies, rounded up by your bank at the backend to the next dollar and have the “passionate pennies” forwarded to us? Name of your bank ________________________ City _________________________ State _____.
(3) Merchant Gift Card – When you buy or reload a gift or merchandise card ($25, $50, $100), would you be interested in sending a percentage (1%, 5%, etc.) of the funds to us as a “caring gift”? Store(s) where you buy gift or merchandise cards ____________________________________________________________.
(4) Passionate Shoppers ("PS") – Shop at a participating supermarket and automatically earn us a 1% cash donation, based upon your spending (paid for by the supermarket). There’s no cost to you!
Supermarket chain I wish to shop at ________________________City, ST ___________
(If your supermarket does not have a loyalty card, Passionate Shoppers ("PS") cannot be available in that store.)
(5) CharityCoins – While shopping at the supermarket, would you be interested in occasionally elevating your store change into “caring coins?” The coins will be safely delivered to us every month as a donation from you. Yes _____
(6) CouponShare – On occasion, would you be willing to share a percentage of your “Free Money” from manufacturer and merchant coupons/rebates with us? You could set the sharing on any basis,
i.e. 80% (you) 20% (for us), etc. Yes _____
-------------------
Date_______________ Name____________________________________________________________
Street_________________________________City, ST, Zip____________________________________
Email_________________________________________________________________________________
*NOTE: Providing an email address guarantees that you will get updates from your MyEPC Page.
If you have not entered an email address, provide a telephone number for record keeping purposes only. Telephone Number_______________________________________________________________
Please return form to ABC Elementary School, 123 Main Street, Anywhere, USA 12345
Thank you, Mary Brown, Fundraising Coordinator
* Go to: www.EveryPennyCounts.com/123-4567 to enroll in U.S. patented EPC products to
“Take Better Care of Ourselves and Others -- One Penny at a Time!”.