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Use This On-Line Form to Order Kroger Cards
Please provide the following contact information:
First Name  
Last Name
Street Address
City
State/Province
Zip/Postal Code
Home Phone
E-Mail

 

Please provide the following ordering information:

# of Cards

Student Name (specify name of student credited)
Specify Band
Student ID

You may pick up your card at the Band Hall - or have them shipped to you. If you wish to
pick them up at the Band Hall,
DO NOT FILL OUT THE SHIPPING INFORMATION BELOW -
please allow 5 days for the order to be filled.

Kroger cards have an initial $1.00 credit balance. DO NOT SEND MONEY.
The amount of $1.00 will be deducted from your initial Kroger Credit.

 

SHIPPING BY MAIL

Street Address  
City  
State/Province  
Zip/Postal Code  

 

Comments or additional information






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