CHARGER BAND - HEB GIFT CARD ORDER FORM
HEB gift cards have the FULL VALUE of their purchase price! EVERYONE IN TEXAS SHOPS AT HEB! DON’T LIMIT YOURSELF TO LOCAL SALES!
HEB gift card purchases return 4% to your student’s account as well as 1% to the BPA fund!
Please print clearly and enclose check payment only (no cash!). Make checks payable to “Churchill BPA” and write your student’s first and last name on the memo line with “HEB Cards”.
Questions: Contact Mary Morrow at marymorrow1102@gmail.com or 210-827-7063
Student Name__________________________________________Grade__________________
Parent Name__________________________________________________________________
Parent e-mail: _____________________________ Parent Phone Number_________________
Total # of $25 cards __________________ X $25 = $_______________________
Total # of $50 cards __________________ X $50 = $_______________________
Total # of $100 cards _________________ X $100 = $_______________________
Total # of $200 cards _________________ X $200 = $_______________________
TOTAL $_______________________
