Verona Music Parents Association Supermarket Gift Card Order Sign Up
Supermarket gift cards are available for Shoprite, Fresh Grocer (which comes as Shoprite cards), Kings and Stop and Shop.  You pay for the cards via check made out to Verona Music Parents Association.  Cards will be picked up on the 1st or 3rd Friday of the month at 57 Fairway Avenue (cross street Forest) and paid for at time of pickup.  Questions on this form?  Text or call Christine McGrath at 201-988-2404.  
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Email *
Is this your first year participating?
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Which store would you like gift cards for? (choose one) *
When do you want to pick up? (choose one) *
What amount of gift cards do you want to pick up? (multiples of $25) *
Please list the amount you want to receive at each pick up.   Example #1 - You want $800 in gift cards for the month, but want to pick up both the 1st Friday and 3rd Friday of the month, then you would put $400 in the space below.  Example #2 - You want $800 in gift cards for the month, but want to pick up only on the 1st Friday of the month, then you would put $800 in the space below.
Do you want gift cards for a second store?  If yes, put the store, the amount, and when you want to pick up below.
Any special requests or questions?  Please put them below.
Full Name *
Are you the parent/guardian of the child in the program?
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Cell phone for texting *
Child's Name *
Grade of Child for 2023-2024 school year?
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Is there another child(ren) in high school in the program?  If so list child/children's name(s) and grade(s) below.
A copy of your responses will be emailed to the address you provided.
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