JCS SCRIP: Order Form


Name: Order Date:
Phone: - - JCS Family Name *
 
*Enter JCS Family Name if a family other than the one ordering should receive tuition credit.

Vendor Denomination Sub** Quantity Total
$ .
$ .
$ .
$ .
$ .
$ .
$ .
$ .
$ .
$ .
$ .
$ .
Make checks payable to
Jubilee Christian School
Grand Total:
Check No:
** Please select either Yes or No in the Sub column to indicate whether or not you need the exact denomination requested (for gifts, for example).
Check one of the following options
Send with my child.   Child's Name:
Will pick up order   Pick up time
Check here if you need more lists to send to family & friends

If you plan to pick up your order and do NOT do so before Thursday at noon,
IT WILL BE SENT HOME IN YOUR CHILD'S TAKE HOME FOLDER.

     

Jubilee Christian School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs



Jubilee Christian School ~ 255 Washington Road, Mt. Lebanon, PA 15216  
Phone: 412-561-5917  ~  Fax: 412-561-2857
E-Mail: judi.phelps@jubileechristianschool.org