B'nai Havurah Grocery Gift Card Program

B’nai Havurah Grocery Gift Card Program The B’nai Havurah Grocery Gift Card Program is a great way to support our programs and services. The program is FREE to you and you support B’nai Havurah with every purchase of groceries you make! How it works: Use this form or go to our website to order your King Soopers and Safeway grocery gift card(s). Your card(s) will arrive ready to use, and registered to B’nai Havurah. Once we receive your order with payment, we will mail you your grocery gift card. Every time you use your reloadable card, King Soopers and Safeway donates a percentage to B’nai Havurah. Please allow 7—10 days for delivery of your card. Please reload your card in the store at the Customer Service desk or at the check out register. Each card can be reloaded to a maximum of $500 and can be reused indefinitely as long as money remains on the card. The balance will not decrease over time. If you have a zero balance for 90 days, the card is automatically deactivated. Use the card at all Kroger and/or Safeway affiliated stores in the United States and at King Soopers and/or Safeway gas pumps. B’nai Havurah absorbs all costs for the program and participants are not charged any fees. As the consumer, you get an even exchange for your money. $100 buys $100 in gift cards. Help even more: Donate card(s) for people in need. Please consider ordering a card for B'nai Havurah to keep on hand to distribute to people in need. Cards may be purchased and given as gifts (Hanukkah is around the corner).

Please complete the form below to get started with B’nai Havurah’s Grocery Gift Card Program!

Name: ___________________________________________ Billing Address: ___________________________________________ City, State, Zip: ___________________________________________ I would like to pay by: Credit Card  Check CREDIT CARD NUMBER: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __ EXPIRATION DATE: _____/_____ Once payment is received, B’nai Havurah will mail you your grocery gift card. Allow 7—10 days for delivery. Please return this form to B’nai Havurah. 6445 East Ohio Ave, Denver, CO, 80224. You can also access this form on our website at www.bnaihavurah.org. If you have any questions, please contact us at 303-388-4441 or at [email protected].

Please make your selection(s) here: King Soopers - $25 per card Quantity: ____X $25 = $__________ I would like to order a $25 King Soopers card(s) for people in need. Quantity: ____X $25 = $__________ Safeway - $10 per card Quantity: ____X $10 = $__________ I would like to order a $10 Safeway card(s) for people in need. Quantity: ____X $10 = $__________

TOTAL ENCLOSED: $___________