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Ralph’s

Organization’s Participants Official List

 

Organizational Name: PHS Instrumental Music Program          Non Profit Organization Number (NPO): 3743

Authorized Representative: Karen Bonnici (714) 987-6910

Student you are supporting: _____________________________________________________________________

 

 

Ralph’s club card

 

last name

 

First name

 

Address

 

City

 

state

 

Zip

 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All information provided to Ralph’s Grocery Company (RGC) in this Official List by the above named Organization and its participants has been provided to RGC in accordance with the RGC Terms and Condition and will be held by RGC in accordance with its Ralph’s Club Card privacy policy.  Neither the information nor the record of the products purchased by the above named persons will be sold or disclosed by the Organization or RGC to any third person.  The organization agrees to indemnify RGC in connectin with any unauthorized disclosure or use of the Information by the Organization, its representatives or its participants.

 

Ralph’s Grocery Company / Gift Services Department, P. O. Box 54143, Los Angeles, Ca 90054     Phone: 1-800-443-4438    www.ralphs.com    www.calabell.com

 

Please give this completed form to Karen Bonnici, or to Goldie (w/student’s name & fundraiser on envelope.)

Contact Karen Bonnici: 714/897-6910 or phsmbvp2@phsmusicboosters.org