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.

Use the form below to place your order for grocery cards. Once submitted, you will be contacted for payment information.

* Name:

* Email address:

* Designate you support for either...
Bible Quizzing
Youth Missions Trip

Darrenkamps Gift Card Value:

Number of Darrenkamps cards requested at this value:

Giant Gift Card Value:

Number of Giant gift cards requested at this value:

Weis Gift Card Value:

Number of Weis gift cards requested at this value:

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