Grocery Card Fundraiser Order Form

• Consider using Giant, Darrenkamps, and Weis Grocery Cards to pay for your groceries, gas, and prescriptions each month.
• Cards are available in amounts of $25, $50, or $100.
• 5% of your purchases will be donated to the EBIC Youth Group.

* Name:

* Email address:

* Support For...
Bible Quizzing
Youth Missions Trip

Darrenkamps Gift Card Value:
Select One$100$50$25

Number of Darrenkamps cards requested at this value:

Giant Gift Card Value:
Select One$100$50$25

Number of Giant gift cards requested at this value:

Weis Gift Card Value:
Select One$100$50$25

Number of Weis gift cards requested at this value:

* How would you like to receive your card(s)?
Church mailbox
Wednesday night clubs 6-7 pm
Sunday morning 9:30-10 am