KMLFC-Kwik Trip Gift and Car Wash Cards

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Please use this form to order your Kwik Trip Car Wash Cards, Gift, Fuel Only, Grocery Only cards to help raise money for KMLFC.

PLEASE INDICATE TYPE OF CARD FOR GIFT, FUEL, or GROCERY in the quantity text. If only a number is listed, you will received a gift card.

KMLFC receives 5% back on gift and fuel cards and 15% back on grocery only.

Items not eligible to be purchased with Grocery Only include fuel, tobacco, alcohol, gift cards, lottery/lotto, and stamps.

Email *

Date of order *

YYYY

Name of Adult Contact *

Preferred Phone Number *

KMLFC Player Name (Family Name if more than 1 player) *

Team (s) *

U10

U12

U14

KMHS Player (non KMLFC player)

Required

# of Car Wash Cards ($36 each)

# $5 Gift Cards

# $10 Gift Cards

# $20 Gift Cards

# $25 Gift Cards

# $50 Gift Cards

# $100 Gift Cards

# $200 Gift Cards

# $500 Gift Cards

I understand that money must be received before order will be placed and only checks will be accepted. No cash. Checks made to Kettle Moraine School District, with KMLFC & your player's name in the memo section and sent to Jenny Pick, W332S3873 Lilac Court, Dousman WI 53118. *Orders are placed monthly and you will be contacted via text when the cards are ready for pick-up. *

Yes

A copy of your responses will be emailed to the address you provided.

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