Enroll Today!

Earn an extra 100 caps credited to your account when you submit your enrollment below.

We'll send your Milk Moola^SM and Donuts to Dough program kit to the coordinator’s attention in time for the school year.

Enrollment Form

Please note: Fields marked with a * are required

* School/Organization Name	** max 25 characters
* School/Organization Address	** max 25 characters
* City	** max 20 characters
* State
* Zip
* Coordinator's Name
* Coordinator's Phone	** max 11 characters
* Coordinator's E-mail
* School Type	High School Middle Elementary Daycare Other
School District Name and/or Number
Number of Students
* Password	**must be at least 6 characters
* Confirm Password
Note: If you get an error when you submit your application, do not re-submit the information. Instead, please call 1-800-505-5157 for assistance.

Printable Version

To download a printable version, please click here. To view the file, you will need Adobe Acrobat Reader.

*Enrollment bonus caps are available upon your first redemption.