ScripOrderForm

EAA Scrip Order Form

Check the scrip program web site for order date deadlines. In an envelope, provide:

This completed order form with your order items.

If paying by check, make payable to Elgin Aquatics Association.

Deliver to your Team Scrip Coordinator (___________________________) or mail to:

Elgin Aquatics Assoc, 13N338 Chisholm, Elgin, 60124

Order availability will be Tuesday (earliest) or Thursday (latest) of the following week.

Name: ______________________________________________ Phone: ______________________

Merchant's Name	Unit $$ Amount	Quantity	Total $$ Amount
1.	.	.
2.	.	.	.
3.	.	.	.
4.	.	.	.
5.	.	.	.
6.	.	.	.
7.	.	.	.
8.	.	.	.
9	.	.	.
10.	.	.	.
Totals:	xxxxxx		.

Merchant's Name

Unit $$ Amount

Quantity

Total $$ Amount

1.

2.

3.

4.

5.

6.

7.

8.

9

10.

Totals:

xxxxxx