TIE Proxy E-Form

Proxy sign-up for Harris Teeter TIE

Saving you time helping John Champe PTSA participate in the "Together In Education" program.
NAME:*

First NameLast Name
PHONE Number: *

Area CodePhone Number
ViC Account NUMBER (if known)
From KEYFOB or BARCODE.
Do you want PTSA to automatically RENEW you next year?*

No [ I prefer to make that decision later.]Yes [ 1 year only]Yes, Please RENEW me every year my student is enrolled.Yes, RENEW every year & when ALUMNI, keep us on your list. Go Knights!
Thank YOU for helping us qualify for easy funds from Harris Teeter's rewards program. Champe PTSA has no access to the amount or detail of your purchases. We just benefit from Teeter's program to assist local schools and their non-profit organizations. The program runs from August thru May.

If you choose, we will re-enroll your family pursuant to your wishes, next July BEFORE the program starts in August. This maximizes our opportunity as the program only collects receipt totals 10 months of the year.
E-mail Address [OPTIONAL]:
Should be Empty:

Proxy sign-up for Harris Teeter TIE