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Scrip Order Form

During the week, including summers, Scrip may be purchased in the school office from 8:00am-4:00pm (summer hours 8-3:30). Scrip order forms are available for you to fill out in the office or you can print one below. We only accept cash or check payments for Scrip purchases in the office. To find out more about how you can use an electronic check for Scrip purchases go to "Online Ordering."

Front of Scrip Order Form

Click here and print the front of the Scrip order form. Fill out your information and designate where you want your half of Scrip profits to go. One half of the profit earned with your Scrip purchase goes to Immanuel Lutheran School and the other half you can designate it to go to one of the funds listed on the form. If you wish to have your Scrip profit designated for something other than a fund listed on the form, please contact the Scrip Coordinator for approval. This form only needs to be filled out once unless you are making changes to your account or updating where you profits should go.

Back of Scrip Order Form

Click here to print the back of the Scrip order form. The Scrip cards and certificates that are listed on the form are kept in stock at Immanuel so that you can go shopping right away. If you are planning on making a large purchase or want to make sure we have enough in stock, please contact the Immanuel office at 715-423-0272. You can also go to and click on the "Shop" tab to see additional vendors we can order from on your behalf.

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