Sign Up For The Club To Receive: Free Patch-its for kids in school.  Membership Mailings Of Samples, Overruns, Closeouts  **All Fields must be filled out. **** Email addresses will be verified. School telephone numbers will be verified. Parents email will be verified   If email submitted is fake / wrong and CANNOT be verified, no Patch-its will be mailed. Your email & your parents email will be verified   ONLY FREE Patch-its for Kids who fill out form correctly (kids defined as under 16 years old) **** Adults (OVER 16) must send $1.00 & a self-addressed envelope to: Patch-it PO Box 75, Englishtown, N.J. 07726 for samples. We Guaranteed Satisfaction*(see below)   We have SPECIALs For Teachers & Educators only. Send School address, and send # of children in your class. Just fill out the information below and get ready for some FUN Fields with an asterisk (*) are required *First Name: *Last Name: *Address: Address 2: *City: *State: Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip Code: *Email Address: *Birthday: ........(mm/dd/yyyy) *School Name: *Grade: *Age: *Parents Email Address:     *Schools Telephone #:  *** Must be filled out   **** All Fields must be filled in to be eligible Please get your parents permission before sending personal information.  Club members are required to be attending school. Membership will be confirmed.  For all that send $1.00 and self addressed envelope; Guaranteed satisfaction. If not satisfied, mail back stickers to Patch-its and we will refund $1.37

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