UNIVERSITY ACADEMY

PARENTS / GUARDIANS!

Common Cents coupon books are available for you to sell! The coupon books are $20 that includes discounts to many local and national businesses!

1. Parent must fill out on-line order form.

2. Once order has been received, the coupon books will go home with the student.

3. Coupon books will be given out in stacks of 5

4. Parents will receive a collection envelope to return back to the school.

Parent/Guardian's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Number

(###)

###

####

Email Address

Student's Name

If there are siblings, the form must be filled out for EACH child.

First Name

Last Name

Teacher's Name

All coupon books will go home with the student.

Please selected the number of coupon books you wish to sell.

Parents are responsible for returning all unsold books. They must be in "sellable" condition.