LHS Chorus Grocery Card Order Form
Grocery Cards Fundraiser

All Grocery Card Fundraiser sales will be Pre-Order Only!

Tuesday and Thursday will be our distribution dates at Door K. Please see below for the schedule of dates and times.
• Tuesday distribution dates will be after school: 3:15 PM to 3:45 PM. (Masks Required)
• Thursday distribution dates will be before Vocal Jazz Practice: 5:30 PM to 5:50 PM (Masks Required)

Payments:
• You can pay via cash or check. All checks make out to: LHS Chorus.
• Payments can be mailed to the school, dropped off with attn: Music secretary, or sent to school with your
student. If your student is bringing in the payment, please have them deliver directly to the music secretary.


The Grocery Card Pre-Order Form Link will be posted on the Chorus Website under “Fundraising”.

www.lincolnchorus.net


Missed Times/Dates Guidelines
• If your pre-order is after the scheduled cutoff date, it will be scheduled for the next distribution date.
• If your payment is received after the schedule due date, the distribution date will be set according to the schedule.
• If the order is not picked up during the scheduled time, it will automatically be scheduled for the next distribution.

The Pre-Order, Payment Due Date, and Distribution of grocery cards will follow the schedule below.

The dates and times below are subject to change.
Please note: Any date/time changes and/or cancellations will be communicated via email within Charms.
Email address *
Student Name
Last Name *
First Name *
Phone *
Distribution Date *
HyVee Grocery Card Amount
1
2
3
4
5
6
7
8
9
10
$25.00
$50.00
$200.00
Fareway Grocery Card Amount
1
2
3
4
5
6
7
8
9
10
$25.00
$50.00
$100.00
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of State of South Dakota K-12 Data Center. Report Abuse