H.O.P.E. Order Form

Full Name
 
Phone
Address
 
Address 2
City
 
Mass*

* If picking up order after Mass at the HOPE table

For questions please contact Beth Gentrup at 371-2621 or bgentrup@shpo.org.

Please submit order by Thursday at 10:00 am. Ready to pick up at the Parish Office on Thursday afternoon or at the HOPE Table at the specified Mass.

If you'd prefer, you can print the order form and bring it in person to the Parish Office.

Grocery Stores


Merchant
Quantity
Cost
Hy-Vee
$10.00
Hy-Vee
$25.00
Hy-Vee
$50.00
Hy-Vee
$100.00
Lou's
$10.00
Lou's
$25.00
Lou's
$50.00
 
 
Merchant
Quantity
Cost
Lou's
$100.00
Pre-Paid Visa Card
$25.00
Pre-Paid Visa Card
$50.00
Pre-Paid Visa Card
$100.00
Walmart
$25.00
Walmart
$100.00
 

Restaurants


Merchant
Quantity
Cost
Applebees
$10.00
Applebees
$20.00
Arby's
$10.00
Bailey's
$10.00
Big Apple Bagel
$5.00
Brogi's
$5.00
Burger King
$5.00
Burger King
$10.00
Culver's
$10.00
Granary
$10.00
KFC
$5.00
McDonalds
$5.00
Michael's Cantina
$10.00
Papa Murphy's
$10.00
 
 
Merchant
Quantity
Cost
Pizza Hut
$10.00
Pre-Paid Visa Card
$25.00
Pre-Paid Visa Card
$50.00
Pre-Paid Visa Card
$100.00
Prenger's
$10.00
Quiznos
$10.00
Ricardos
$10.00
Runza
$10.00
Subway
$3.00
Subway
$10.00
Valentinos
$10.00
Wendy's
$10.00
Whiskey Creek
$10.00
 

Retail Stores


Merchant
Quantity
Cost
Menard's
$25.00
Pre-Paid Visa Card
$25.00
Pre-Paid Visa Card
$50.00
Pre-Paid Visa Card
$100.00
Shell Gas
$25.00
 
 
Merchant
Quantity
Cost
ShopKo
$25.00
Sinclair Oil
$25.00
Walgreens
$25.00
Walmart
$25.00
Walmart
$100.00