Scrip Agreement (General)
Leman PTO - Parker sponsors a scrip program which allows you to purchase scrip. The scrip you purchase through our program generates rebates from the participating retailers. These rebates can be used to earn money towards school fees, sports fees, or other expenses at your discretion.
Email Address *
I understand that: Rebates earned will be used in the following ways: 50 % will be retained as a fundraiser for the PTO (NOT tax deductible) and 50% as earnings for the following scholars: *
I understand that: My family’s share of the earnings will be received as a physical check mailed to me in early June and early January. *
Required
I understand that: If my family generates less than $10 in Scrip rebates, I will forfeit my earnings and 100% will go to the PTO as a contribution (tax deductible). The administrative cost is too high to send checks for small amounts. *
Required
I understand that: With respect to your charitable contributions, we will provide you with all required acknowledgements under sections 170(f)(8) and 170(f)(17) of the Internal Revenue Code. 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. We make no representations or warranties of any kind with respect to the scrip. This agreement continues unless replaced by another, and can be terminated by either party upon 60 day’s advance notice. *
Required
Name & Address *
Type your name again on the line below to acknowledge your agreement to all the terms on this document. This will serve as your electronic signature. *
Thank you for submitting this form! You will receive an invitation from "shopwithscrip" to enroll in our program. Please enter any additional questions below.
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