Print this letter on your organization’s letterhead
Holy Name School Scrip Program
Waiver of Responsibility
I _________________________ give the Holy Name Scrip Program permission to send my Scrip order home with my child, unless otherwise indicated on the order form that I will pick it up in the school office on the designated date. By signing this waiver, I release Holy Name School from any liability if the order is lost or misplaced.
Date: ____________________
Signature: _____________________
Please list the child’s name you wish to transport your order:
Name ____________________________
Homeroom Number _______________
Account Number __________________
Holy Name School Scrip Program
Authorization Form
I __________________________ give the Holy Name Scrip Program permission to substitute the denominations of my Scrip order based on availability. For example, if I order 1 - $100 Sheetz and Scrip has
4 - $25 Sheetz cards, I authorize this substitution.
Also, I ask the Scrip Program to fill my order as soon as possible. If an item is not available and on backorder, the item will be ordered the following week and the rest of the order will be sent home.
Date: ____________________
Signature: _____________________
Child’s Name _____________________
Homeroom Number _______________
Account Number __________________
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- letter for your best friend
- sample letter to your friend
- letter to your best friend
- letter to your friend examples
- a letter to your friend
- i hope this letter finds you well
- letter to your future self
- free print alphabet letter worksheets
- sample letter introducing your business
- organization s management structure
- what s on your plate pdf
- what s on your plate