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Scrip Funds Transfer Request

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Please Transfer My Scrip Account Funds:
The maximum number of form submissions has been reached. This form is currently not available.
- Please enter the name on your scrip account and your email address.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Entire Account Balance or Partial Distribution REQUIRED Please fill out this field.
- Partial Transfer Dollar Amount Please enter valid data.
- Transfer My Funds to: REQUIRED
  Choose One
  Annual Campaign for Education Another Family Mass Intention My CHWC Payment My Faith Formation Payment My School Tuition Payment-Automatically Distributed Quarterly Take Stock in our Youth Other Please fill out this field.
- Enter another family's name or any additional information regarding transfer.
Submit

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Contact Us
- Jeanne Konwal
  
  Scrip Record Keeper
  
  920-733-5158
  konwaljholyspirit-parish.org
- Tina Keller
  
  Scrip Coordinator
  
  busymomnew.rr.com