Note: Please submit one form per qualifying purchase.
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Name
*
First Name
Last Name
School Name
Shipping Address (No PO Boxes)
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Street Address
Street Address Line 2
City
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Zip Code
Email
*
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Phone Number
*
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Name of Store Where Stands Were Purchased
*
Purchase Date
*
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Month
-
Day
Year
Date
Please upload a copy of your original purchase receipt in the format of a .jpg, .png, or .pdf
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