The Top 5 Students Who Collect The MOST BOX TOPS Will Win a $20 Gift Card

*Box Tops MUST Be Submitted All Together by February 15, 2013*Box Tops MUST Be Trimmed*Box Tops CANNOT Be Expired

Name:

Class:

Number Of Box Tops:

Clip on dotted line and submit with Box Tops in Ziploc bag

• Box Tops MAY ALSO BE SUBMITTED IN A ZIPLOC BAG (If submitting in bag, clip the top right corner of sheet and submit with Box Tops)• If submitting more than 1 Collection Sheet, please staple sheets and submit together• Please DO NOT staple Box Tops onto sheet• Please DO NOT attach Bonus Box Tops to Collection Sheet (Submit Bonus Box Tops with Name and Class # in a Ziploc Bag)

SUBMIT BOX TOPS BY FEBRUARY 15th

ONLY 25 BOX TOPS PER SHEET

NAME:_____________________________

CLASS:______________________________

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