School Fund Raising

School YTD earnings: $3,746.58

elementary school fund raiser high school fund raiser
ENROLLMENT FORM
St. George School
133 W. 4th Street
Hermann, MO 65041
Phone: 573-486-5914
Fax: 573-486-1914

St. George School SCRIP
Dragon Dollar Program

Date: ___________________
 
Business Name: ______________________________________________________________________
 
Address: ____________________________________________________________________________
 
Phone Number: _______________________________________________________________________
 
Fax Number: _________________________________________________________________________
 
Contact Person: ______________________________________________________________________
 
Percentage Discount:  _________________________________________________________________
 
Exclusions (if any) on certificates: (i.e. not in combination w/a sale or No change given)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
 
Denominations of certificates: ___________________________________________
When/Where to pick-up certificates:
_____________________________________________________________________________________
_____________________________________________________________________________________
 
 
______________________________________       ______________________________________
                     Signature                                                             Print Name
 

Thank You for participating without school SCRIP Program!

Please contact the school should you every have any questions.