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Get Box Tops for Education Submission Form

Submission form You must include one submission form with each box or envelope you send to Box Tops. There is no limit to the number of Box Tops coupon bundles Super Box Top bundles or Bonus certi cates you include in each box or envelope. There is no limit to the number of Box Tops coupon bundles Super Box Top bundles or Bonus certi cates you include in each box or envelope. If you are sending multiple boxes or envelopes each must include a completed submission form for the contents of that box or envelope. Submission form You must include one submission form with each box or envelope you send to Box Tops. There is no limit to the number of Box Tops coupon bundles Super Box Top bundles or Bonus certi cates you include in each box or envelope. If you are sending multiple boxes or envelopes each must include a completed submission form for the contents of that box or envelope. Send completed submission packages to Send via U*S* Postal Service to General Mills Box Tops for Education P. O. Box 2185 Young America MN 55553-2185 Send via UPS FedEx or other carriers to 717 Faxon Road Dept. 2185 By signing I certify that I am the authorized Box Tops for Education Coordinator for my organization* I understand that giving false information to the Box Tops for Education Program may be considered fraudulent under U*S* Mail Fraud Statutes 18 U*S*C. 1341 and 1342. Print Name Signature Date Please include this entire your box or envelope. SUBMISSION INFORMATION Box Tops School ID Submission Date School Name School Address City State Zip Coordinator Name Principal Name DETERMINE VALUE Number of Box Tops x 10 Number of Bonus Box Tops Number of Super Box Tops x 30 Total. If you are sending multiple boxes or envelopes each must include a completed submission form for the contents of that box or envelope. Send completed submission packages to Send via U*S* Postal Service to General Mills Box Tops for Education P. Send completed submission packages to Send via U*S* Postal Service to General Mills Box Tops for Education P. O. Box 2185 Young America MN 55553-2185 Send via UPS FedEx or other carriers to 717 Faxon Road Dept. O. Box 2185 Young America MN 55553-2185 Send via UPS FedEx or other carriers to 717 Faxon Road Dept. 2185 By signing I certify that I am the authorized Box Tops for Education Coordinator for my organization* I understand that giving false information to the Box Tops for Education Program may be considered fraudulent under U*S* Mail Fraud Statutes 18 U*S*C. 2185 By signing I certify that I am the authorized Box Tops for Education Coordinator for my organization* I understand that giving false information to the Box Tops for Education Program may be considered fraudulent under U*S* Mail Fraud Statutes 18 U*S*C. 1341 and 1342. Print Name Signature Date Please include this entire your box or envelope. SUBMISSION INFORMATION Box Tops School ID Submission Date School Name School Address City State Zip Coordinator Name Principal Name DETERMINE VALUE Number of Box Tops x 10 Number of Bonus Box Tops Number of Super Box Tops x 30 Total. .

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