scrip order form scrip order form

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SCRIP ORDER FORM
Name: _________________________
Phone: _________________________
Email: _________________________
Quantity
Store
Amount
 heck #______ (Payable to EHCC)
C
Cash
Total: $________
Student Account #

or Family Name:
_________________________
or
Youth Trips/Scholarship Fund
Here is a SAMPLE list of just
some of the stores around
Southlands and the % that
can be earned...check out the
complete list at the
Youth kiosk or go to
www.glscrip.com
Albertsons 4%
Amazon.com 3%
American Eagle 9%
AMC Theaters
American Airlines 8%
Bath & Body Works 13%
Best Buy 3%
Cabelas 11%
Chilis/On the Border 11%
Chipotle 10%
Home Depot 4%
Itunes 5%
JC Penney 6%
Kohls 4%
Noodles & Co 8%
Office Depot 4%
Old Navy/Gap 9%
Olive Garden 9%
Safeway 4%
Shell Gasoline 2.5%
Sports Authority 8%
Starbucks 7%
Target 2%
Walmart & Samlub 2%
You can also buy Hotel gift
cards and so much more…
Gift cards can be used and
any location, all over the
country...
Come check it out and help
support our Youth Ministries
SCRIP ORDER FORM
Name: _________________________
Phone: _________________________
Email: _________________________
Quantity
Store
Amount
 heck #______ (Payable to EHCC)
C
Cash
Total: $________
Student Account #

or Family Name:
_________________________
or
Youth Trips/Scholarship Fund
Here is a SAMPLE list of just
some of the stores around
Southlands and the % that
can be earned...check out the
complete list at the
Youth kiosk or go to
www.glscrip.com
Albertsons 4%
Amazon.com 3%
American Eagle 9%
AMC Theaters
American Airlines 8%
Bath & Body Works 13%
Best Buy 3%
Cabelas 11%
Chilis/On the Border 11%
Chipotle 10%
Home Depot 4%
Itunes 5%
JC Penney 6%
Kohls 4%
Noodles & Co 8%
Office Depot 4%
Old Navy/Gap 9%
Olive Garden 9%
Safeway 4%
Shell Gasoline 2.5%
Sports Authority 8%
Starbucks 7%
Target 2%
Walmart & Samlub 2%
You can also buy Hotel gift
cards and so much more…
Gift cards can be used and
any location, all over the
country...
Come check it out and help
support our Youth Ministries
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