Rush WI West - Kwik Trip Scrip Cards Purchase Request
How the program works:
* The Scrip Gift Card Program allows Rush WI West to purchase Kwik Trip gift cards at a 5% discount.
* Additionally, Rush WI West will receive a 10% rebate when the cards are used instore on grocery items like milk, eggs, butter, and bread!
* This is a win-win fundraiser because it’s an even exchange – you pay face value for the card and Rush WI West gives you a gift card for equal value. This allows you to purchase all the things you would anyways while benefiting Rush WI West Soccer Club!
* We will arrange a time at Fields for Kids to deliver the card(s) to you.  Fields for Kids is located at 2500 Hauser Street, La Crosse, WI 54603. Payment is due at the time of delivery.
* Checks can be made out to Rush WI West.  We do not accept credit card payments for this program.

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First Name *
Last Name *
Rush Player Name *
Email *
Phone Number *
$10 Kwik Trip Scrip Cards Requested (enter quantity) *
$25 Kwik Trip Scrip Cards Requested (enter quantity) *
$50 Kwik Trip Scrip Cards Requested (enter quantity) *
$100 Kwik Trip Scrip Cards Requested (enter quantity) *
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