Rock Valley Christian School - Scrip Online Order Form

Note: This online order form includes the more popular vendors. For a complete listing of vendors, you may order from ShopwithScrip.com. You may download a more detailed form that is found on the main Scrip page. Order forms are also available in the office.

Orders are due by 9 am on Mondays and should be available for pick up the same week on Thursday afternoons or Friday. Payment is due when you pick up your order. You may email Julie Van Tol with any questions at julie.vantol@rockvalleychristian.com.

In the box under each vendor, you purchase from, indicate the denomination and quantity desired. For example: Sunshine Foods $25 x 4, $100 x 2 for a total of $300. If there is only one denomination list the number of cards you are ordering. When finished, click on the Submit button. Once submitted, you will not be able to make changes and will be redirected to the Scrip page.

Scrip Order Form - condensed:

Amazon - $25, $100

Applebees - $25, $50

Bath & Body Works - $10, $25

Bomgaars - $25, $100, $500

Buffalo Wild Wings - $10, $25

Cedar Rock - $25, $50

Cenex - $25, $100

Culvers - $25

Dairy Queen - $10

Eagle Avenue Car Wash - Any denomination. Please note if this is a new card or a reload (list last 6 digits of card).

Fareway - $25, $50, $100, $200

HyVee - $25, $50, $100, $200

Lewis Drug - $25, $50, $100

McDonald's - $10

Pink RVCS Money (5%) - $5, $10, $20, $100. Be sure to list the quantity of each denomination. If you need pink money to pay a bill over $300, please bring the bill to the office and we will write you a check as some restrictions may apply.

Pizza Ranch - $25

Scheels - $25

Sinclair - $25, $100

Starbucks - $5, $10, $25

Subway - $10, $50

Sunshine Foods - $25, $50, $100, $200

Target - $25, $50, $100, $250

Texas Roadhouse - $25, $100

Visa Gift Card - $50, $100, $250

Walmart - $25, $50, $100, $250, $500

White RVCS Money (3%) - $5, $10, $20, $100. Be sure to list the quantity of each denomination. If you need white money to pay a bill, please bring the bill to the office and we will write you a check as some restrictions may apply.

Yellow RVCS Money (2%) - $5, $10, $20, $100. Be sure to list the quantity of each denomination. If you need yellow money to pay a bill over $300, please bring the bill to the office and we will write you a check as some restrictions may apply.

Order Total Amount $:

Name of person ordering:

Give credit for this order to:

My family

Another Family

Name of the family to receive credit if other than myself:

Date

* Enter Your Email Address:

I am not a Robot

Scrip Online Order Form - condensed

Scrip Order Form - condensed: