2026-27 Grocery Gift Card Fundraiser - Order Form

Deadline to Submit Order Form - Thursday Oct 1, 2026

2026-27 Grocery Gift Card Fundraiser Order Form
Student Name

First NameLast Name
Parent Name

First NameLast Name
Parent Email Address
example@example.com
Parent Cell Number
Please enter a valid phone number.Format: (000) 000-0000.

Monthly Gift Card Order (please input the number of gift cards you would like for your chosen vendor(s) - the totals will be automatically calculated

Rows	Co-op $25	Co-op $100	Co-op $250	President's Choice $25	President's Choice $100	President's Choice $250	Safeway $25	Safeway $100	Safeway $250	Total Monthly Order Value
November 2026
December 2026
January 2027
February 2027
March 2027
April 2027
May 2027
June 2027
Total Gift Cards Ordered for the 8 months

Only President's Choice gift cards are available as physical cards or electronically. Please choose the format you prefer:
Choose one option for the monthly payment:
Information collected on this form is in compliance with Canadian privacy laws. It is used solely for the purpose of processing your grocery gift card purchase.
Signature
Should be Empty: