Deadline to submit entry form is Monday, January 18 at 5 p.m.

Yes, our school will compete in the 2010 Buckle Up, Driver Sober Campaign
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Yes, our school will participate in the campaign, but will not be competing for prizes.
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Name of School

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School Address

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School Telephone

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School Resource Officer/Sponsor: (should be individual assisting students with the campaign)

Name

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Telephone

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E-Mail

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Current Student Enrollment for the School

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Check One Of The Following School Division


Small School Division 875 or less
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Large School Division 876 or more
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ORDER FORM
(Supplies are limited, so please order early)



Heart Key Chains imprinted with Buckle Up, Drive Sober (limited to 100 per school)

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Wrist Bands embossed with Buckle Up, Drive Sober (limited to 100 per school)

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Tattoos with the Have a Heart, Drive Smart artwork (limited to 150 per school)

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Pledge Cards to Buckle Up & Drive Sober (maximum 500 per school)

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Seat Belt Tip Cards (maximum 250)

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Alcohol Tip Cards – includes Alcohol Facts (maximum 250)

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Pens (limited to 100 per school)

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YOVASO Litterbags (limited to 100 per school)

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YOVASO Buckle Up Stickers (limited to 100 per school)

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Campaign Banner 6x3 laminated w/grommets (1 per school. Customized banners not available.)

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By checking this box, I agree to abide by all rules of the BUDS Campaign and adhere to all deadlines.
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Deadline to submit entry form is Monday, January 18 at 5 p.m.