School Name

School Address

City State Zip

Your Phone

Your Name

Team Name (for example, Team Kelli, Team Delta Nu, or Team Basketball)

Your Email

Your T-Shirt Size

Method of Collecting Pledges

*New this year! Take the pledge online to received your unique referral link and a chance to win more prizes!**

Team Leader Raffle Prizes(select the raffle you want to be entered into):

Undergraduate Population
(To find the student population at your school (undergraduate only) visit http://nces.ed.gov/collegenavigator/, type in the name of your school and select the state. You need to get 2% of the undergraduate population to take the Your Skin Is In Pledge in order to be entered into the Your Skin Is In raffle and a minimum of 50 students from your school must take the Pledge. )

Would you like additional materials to help you promote Your Skin Is In at your school? (If you select yes, you will be contacted by MFNE) There is no charge for materials and services.

Posters Speaker
Video UV Facial Scanner (what is this?)

How did you hear about Your Skin Is In
    Specify if Other

Comments or Questions?