SCRIP PROGRAM AGREEMENT
St. Margaret Regional School (referred to herein as “we,” “us” and “our”) sponsors a scrip
program which allows you to purchase scrip. The scrip you purchase through our program
generates rebates from the participating retailers. You may choose to use your rebates as cash
back to you, tuition credits or a gift to the parish/school.
The parties agree as follows:
1. For administering the scrip program, we will retain 50% of the rebates received from your
scrip purchases as an administration fee.
2. We agree to apply the balance of your rebates as designated below (please choose one):
____50%
as a charitable contribution for the school
____50%
as a charitable contribution to the parish generally
____50%
as a cash rebate to you
____50%
credited to the following tuition account
(School name, Student name and grade)
3. Our scrip program distributes the rebates one time a year, in the following month: JUNE.
With respect to your charitable contributions, we will provide you with required
acknowledgements under sections 170(f)(8) and 170(f)(17) of the Internal Revenue Code.
4. You agree to indemnify us against any loss incurred in connection with there being
insufficient funds in your account to cover the checks or ACH transfers you issue to pay for
your scrip.
5. We make no representations or warranties of any kind with respect to the scrip.
6. This agreement continues unless replaced by another or until terminated by either of us.
Please sign and date below to indicate your agreement.
Purchaser’s Signature:
______
Printed Name:
Address:
E-Mail Address:
________________________________
(referred to herein as “you” and “your”)
Date:
Phone: __________________
ACKNOWLEDGED BY St. Margaret Regional School, a mission of Infant Jesus Parish,
Woodbury Heights, N.J.
By:
(Pastor)
Date: ___________________