Scrip Order Form

The gvPTA Scrip Order Form is on-line!

You will see a confirmation of receipt on the screen then receive an e-mail from the Scrip Manager when she receives your order. If you have any questions, feel free to contact us by email at, or stop by the Scrip Sales Table.

Download the EFT form here. EFT payment on One Time orders is available only if you already have an EFT set up for a Monthly Standing Order.
Order Type:
Delivery Method:
By selecting "Backpack", you agree that you will deem your order received once it has been delivered to the designated classroom.
Child's Name (Backpack orders only):
E-mail (confirm)
Special Instructions

Enter the total dollar amount of Scrip that you would like to purchase for each vendor, not the quantity:

Merchant $ Face % to GV Quantity Amount
Security Code Validation
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