Scrip Order Form

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For a printable form click here.

Name		Phone
Email

Order for Week of

Business	Denomination
Arby's	$5
Bob's Pharmacy	$10	$20
Hy-Vee	$10	$25	$50	$100
McDonalds	$5
Papa Murphy's	$5
Penny's Floral	$25
Super Saver	$20	$50	$100
Tooley's Drug	$10	$20
Valentino's Pizza	$5	$10	$25

To view Scrip credit percentage details click here.

The school receives 1/2 of the credit percentage and the other 1/2 is applied to your tuition account, another student's account or the general tuition account.
Please specify.

Scrip order must be returned by Tuesday.
Scrip may be picked up on or before Friday.

If you need a large quantity, of particular scrip (over $200), we may need extra time to complete your order. If you have questions, or if there is a problem with your order, please contact the school office at 562-6470. Thank you!

You will receive an email confirmation of your order after clicking "Submit".