Giant and Safeway Cards

SHADY GROVE MIDDLE SCHOOL
Help support SGMS by providing your shopping card information. Every time you shop,
SGMS will receive funds to support our students in need.
STUDENT’S NAME & GRADE _______________________________________________________________________
REGISTERED CARD HOLDER’S NAME _______________________________________________________________
ADDRESS ___________________________________________________________________________________
_________________________________________________________________________________________
EMAIL______________________________________________________________________________________
REGISTERED TELEPHONE NUMBER ____________________________________________________________________
Please provide your registered card information.
GIANT CARD NUMBER _______________________________________________________________________
SAFEWAY CARD NUMBER ____________________________________________________________________
HARRIS TEETER CARD NUMBER ______________________________________________________________________
BLOOM CARD NUMBER ______________________________________________________________________
CVS CARD NUMBER _________________________________________________________________________
RETURN THIS FORM TO THE MAIN OFFICE
Or Email to
[email protected]