From coins donated to it by collectors and those who want to spread a knowledge of of coins in Pennsylvania, PAN will send to eligible students in Pennsylvania schools, ages 10 to 15, a coin or coins for one or more A's that are recieved per semester.
Applications must be recieved no more than 60 days after you recieve the report card. This offer can be withdrawn at any time without further notice.
Tell us about yourself
Name: _______________________________________________________
Street: _______________________________________________________
City: _________________________________________________________
State: _____________________________ Zip Code: ___________________
Phone: _____________________________ Date of Birth: ________________
Grade in School: _______________
If you collect coins, what are your interests? ______________________________
__________________________________________________________________
Tell us about your school
Name of school: __________________________________________________
School's Mailing Address: __________________________________________________
________________________________________________________________________
Name of your teacher: _________________________________________
School District: ____________________________________
_______________________________________________________________________
Signature / Date
INSTRUCTIONS:
RETURN THIS APPLICATION
WITH A COMPLETE PHOTOCOPY OF
YOUR REPORT CARD TO THE ADDRESS BELOW.