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“One-Time” Grocery Card Order Form

Name:

Phone Number:

email:

One-Time Grocery Card Order

For families who wish to participate periodically or who are looking to sell cards to their friends and neighbours we offer a one-time grocery card order. You can find an online version of this form at www.glaciergymnastics.com/grocery-cards-monthly-sales/.

Order Deadline

Orders submitted by the first of the month will be filled by the 15th, orders submitted by the 15th of the month will be filled by the end of the month.  Questions?  Call 352-2227 for more information.

Accepted Payment Methods

Cheque (please make payable to Glacier Gymnastics Club) or cash payment is required at the time of card pick up.

Your Name

Phone Number

# of $50 Save On Cards

# of $100 Save On Cards

# of $50 Kootenay Co-op Cards

# of $100 Kootenay Co-op Cards

Total Order

Eg. Star Gymnast

123-4567

2

2

$200

Totals:

$