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Kings Sooper & Safeway Card Order Form
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Support your School!

Carry & Use the King Soopers Reloadable Debit card or the Safeway Gift Card!

Dennison does an amazing job educating our children. But with school funding at its lowest level in decades, Dennison also needs our help. Dennison receives only $114 per student per year to pay for everything except the facility and teacher salaries. This includes all textbooks and consumable workbooks, computers, supplies, field trips, in short, everything! However, there is a great way to support the school without any out-of-pocket expense for us or our families: Carry and use King Soopers Reloadable Debit Cards or Safeway gift cards.

Here is how the program works:

King Soopers: The King Soopers Reloadable Debit card works just like a pre-paid debit card. You buy the card for $25 and it contains $25 that can be used to buy groceries, pay for prescriptions, and pay for gasoline at stores with a gas center just like a normal credit card. You can reload or place additional money onto your card using cash, checks or credit cards at any King Soopers cashier, service desk or gas station attendant. When you recharge the card, Dennison receives 5% of your reload amount. Buy them for you and your spouse, but also be sure to sign up friends, family and relatives! When they reload their cards Dennison gets 5% - think how much good we can do for the school!

Safeway: Safeway Gift Cards work just like any other gift card. You buy cards in $25 or $100 denominations. When you buy cards, 5% of the face value goes to the school, and you use them just like a credit card to buy groceries, prescriptions or gasoline at Safeway gas centers. Gift cards are also great as gifts or as a thanks you to friends and family. The more cards we buy, the more the school receives! --------------------------------------------------------------------------------------------------------------------- Fill out the Form below and mail along with your payment to: DCSF – PO Box 150170, Lakewood CO 80215

Please enter your billing/shipping information below: Delivery options: Name:________________________________________  With student in Thu packet Address:______________________________________  Via postal service using the _____________________________________________ address to the left City:_________________ State:_____ Zip:_________  Will pick up at the school Telephone:____________________________________ (King Soopers/Safeway table

or the front desk) King Soopers: ___ cards x $25 each Subtotal:$_______

Payment:  Check  Cash Safeway: $25 cards: ____ x $25 Subtotal:$_______  Credit Card

$100 cards: ____ x $100 Subtotal:$_______ Type:_____________________

Number:___________________ Donation:$_____________ Subtotal:$_______ Expiration (mm/yy):_________

(Donations may be tax deductable) TOTAL:$_______ Questions? Rhonda Ellis 303-907-0060

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