$$ WAYSIDE $$
Help us take advantage of earning extra money for Wayside by participating in programs offered by our local
grocers, Safeway/eScrip, Giant, and Harris Teeter at no extra cost to you! Participation is easy but you must
register with each store each year. Please return this form to school and we will register Wayside as one of
your designated schools You may also register online. See the websites below.
Name:____________________________________________________________________
Address:___________________________________________________________________
City:_________________________________State:_____________Zipcode:_____________
Email:_____________________________________Phone:__________________________
Please fill in as much information as possible and make sure that the names and phone numbers match the
names and phone numbers associated with each grocery store loyalty program. Please register by November 1,
2012. Thank you in advance for helping.
Safeway – If you don’t know your card number, call Safeway/eScrip at (877)723-3929 or
visit http://www.escrip.com
Wayside ES # 6584159
Last name associated with the account:______________________________________________
Phone number associated with the account:__________________________________________
Email associated with the account:__________________________________________________
Safeway card number:____________________________________________________________
Giant – If you don’t know your card number, call Giant A+ Hotline at (877)275-2758 or visit
http://www.giantfood.com/aplus.com
Wayside ES # 00765
Last name associated with the account:______________________________________________
Phone number associated with the account:__________________________________________
Giant card number:______________________________________________________________
Harris Teeter – If you don’t know your card number, call Harris Teeter
at (800)432-6111
or visit http://www.harristeeter.com/community/together_in_education/tie.aspx
Wayside ES # 7932
Last name associated with the account:______________________________________________
Phone number associated with the account:__________________________________________
VIC card number:________________________________________________________________