Shop with Scrip Order Form - St. Mary School

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Created: 9/18/2017 10:26:13 AM

Family Order Form

Saint Mary School More selections are available online at www.shopwithscrip.com Please submit order by the 2nd and 4th Monday of each month for delivery by Friday. Name

Customer #

Check #

Order Date

Product

Total

Product

1-800-Baskets $50.00

12%

$

Boscov's $25.00

1-800-Flowers $50.00

12%

$

BP $50.00

A.C. Moore $25.00

5%

$

Ace Hardware $100.00

4%

$

Ace Hardware $25.00

4%

Advance Auto Parts $100.00

7%

Advance Auto Parts $25.00

7%

Aeropostale $25.00

10%

Amazon.com $100.00

% QTY

2.5%

Total

Product

8%

$

Discover® Universal Gift Card $100.00

1.25%

$

1.5%

$

$

8%

$

Discover® Universal Gift Card $50.00

1.25%

Buffalo Wild Wings $10.00

Disney $100.00

3%

$

8%

$

$

Buffalo Wild Wings $25.00

Disney $1000.00

3%

$

$

Build-A-Bear Workshop $25.00

8%

$

Disney $25.00

3%

$

Domino's $10.00

8%

$

Domino's $25.00

8%

$

Dunkin' Donuts $10.00

3%

$

Dunkin' Donuts $25.00

3%

$

$ $ $

% QTY

Burger King $10.00

4%

$

Burlington Coat Factory $25.00

8%

$

11%

$

8%

$

Cabela's $25.00

% QTY

Total

Amazon.com $25.00

2.5%

$

Carrabba's Italian Grill $25.00

Exxon $50.00

1%

$

AMC Theatres Single Ticket $10.00

10%

$

Carrabba's Italian Grill $50.00

8%

$

Famous Footwear $25.00

8%

$

8%

$

Cheesecake Factory $25.00

5%

$

Fandango $25.00

4%

$

10%

$

Children's Place $25.00

12%

$

FandangoNOW $25.00

4%

$

American Girl $100.00

9%

$

Chili's Grill & Bar $25.00

11%

$

Foot Locker $25.00

8%

$

American Girl $25.00

9%

$

Chili's Grill & Bar $50.00

11%

$

GameStop $25.00

3%

$

Gap $100.00

14%

$

Gap $25.00

14%

$

Harmon Face Values $25.00

7%

$

AMC Theatres® $25.00 American Eagle Outfitters $25.00

Apple iTunes® $15.00

5%

$

Chipotle Mexican Grill $10.00

10%

$

Apple iTunes® $25.00

5%

$

7%

$

Applebee's® $25.00

8%

$

Christmas Tree Shops $100.00

7%

$

$

Christmas Tree Shops $25.00

Harry & David $50.00

12%

$

Chuck E. Cheese $10.00

8%

$

Home Depot $100.00

4%

$

4%

$

Arby's $10.00

8%

AutoZone $25.00

8%

$

Babies"R"Us $100.00

3%

$

Claire's $10.00

9%

$

Home Depot $25.00

Babies"R"Us $20.00

3%

$

8%

$

Home Depot $500.00

4%

$

Barnes & Noble $10.00

8%

$

Cold Stone Creamery $10.00

9%

$

HomeGoods $100.00

7%

$

Barnes & Noble $100.00

8%

$

Container Store $100.00

HomeGoods $25.00

7%

$

Container Store $25.00

9%

$

Barnes & Noble $25.00

8%

$

$

8%

$

Honey Baked Ham $25.00

12%

Cracker Barrel $10.00

Bass Pro Shops $25.00

9%

$

Cracker Barrel $25.00

8%

$

Hotels.com $100.00

6%

$

Bath & Body Works $10.00

13%

$

Crate and Barrel $25.00

8%

$

Hotels.com $250.00

6%

$

Bath & Body Works $25.00

13%

$

CVS Pharmacy® $100.00

6%

$

iTunes® $15.00

5%

$

iTunes® $25.00

5%

$

Bed Bath & Beyond $100.00

7%

$

CVS Pharmacy® $25.00

6%

$

J. Crew $25.00

13%

$

Bed Bath & Beyond $25.00

7%

$

Dairy Queen $10.00

3%

$

JCPenney $100.00

5%

$

Bertucci¶s Italian Restaurant $25.00

10%

$

Dennis Uniform $20.00

5%

$

JCPenney $25.00

5%

$

Denny's $10.00

7%

$

Jiffy Lube $30.00

8%

$

Best Buy® $100.00

4%

$ $

$

$

Jo-Ann Fabric and Craft Stores $25.00

6%

4%

Dick's Sporting Goods $25.00

8%

Best Buy® $25.00

Make Checks Payable To:

Saint Mary School

Total Due All Columns:

$

Created: 9/18/2017 10:26:13 AM

Family Order Form

Saint Mary School More selections are available online at www.shopwithscrip.com Please submit order by the 2nd and 4th Monday of each month for delivery by Friday. Name

Customer #

Check #

Order Date

Product

Total

Product

Total

Product

Kmart $25.00

4%

% QTY

$

Peapod Online Grocery $25.00

4%

$

7%

$

Kohl's $100.00

4%

$

4%

$

Kohl's $25.00

4%

$

Peapod Online Grocery $50.00

T.J. Maxx/Marshalls/HomeG oods $100.00

$

4%

$

T.J. Maxx/Marshalls/HomeG oods $25.00

7%

Pep Boys $20.00 PetSmart $25.00

5%

$

Taco Bell $10.00

5%

$

Pottery Barn $100.00

8%

$

Tanger Outlets $25.00

8%

$

Pottery Barn $25.00

8%

$

Target $100.00

2.5%

$

Rainforest Cafe $100.00

9%

$

Target $25.00

2.5%

$

Rainforest Cafe $25.00

9%

$

Target $50.00

2.5%

$

Regal Theatres $25.00

8%

$

Texas Roadhouse $25.00

8%

$

TGI Fridays® $25.00

9%

$

L.L.Bean $100.00

16%

$

L.L.Bean $25.00

16%

$

Lands' End $100.00

16%

$

Lands' End $25.00

16%

$

% QTY

% QTY

Total

Loews Cineplex $25.00

8%

$

Loews Cineplex Single Ticket $10.00

10%

$

Lowe's $100.00

4%

$

$

4%

$

Regal Theatres Premiere Movie Ticket $10.00

10%

Lowe's $25.00 Lowe's $500.00

4%

$

$

8%

$

The Home Depot $100.00

4%

Ruby Tuesday $25.00

Macaroni Grill $25.00

11%

$

10%

$

The Home Depot $25.00

4%

$

Macaroni Grill $50.00

11%

$

Ruth's Chris Steak House $50.00 Sears $25.00

4%

$

$

10%

$

The Home Depot $500.00

4%

Macy's $100.00

$

Toys"R"Us $100.00

3%

$

10%

$

Sears Auto Service Center $25.00

4%

Macy's $25.00

$

$

$

2%

3%

7%

Shell $100.00

Toys"R"Us $20.00

Marshalls $100.00

$

2%

$

Visa® Five BackŒGift Card $100.00

$

7%

Shell $25.00

1.25%

Marshalls $25.00 Michaels $25.00

4%

$

Shell $50.00

2%

$

$

4%

$

Visa® Five BackŒGift Card $50.00

1.25%

ShopRite $100.00

5%

$

ShopRite $25.00

4%

$

10%

$

Staples $100.00

5%

$

Staples $25.00

5%

$

Mobil $250.00

1%

$

Mobil $50.00

1%

$

Office Depot / Office Max $100.00

5%

$

Office Depot / Office Max $25.00

5%

Smashburger $10.00

$

Walgreens $100.00 Walgreens $25.00

5%

$

Walmart $100.00

2.5%

$

Walmart $25.00

2.5%

$

Walmart $50.00

2.5%

$

Wendy's $10.00

4%

$

3%

$

3%

$

Old Navy $100.00

14%

$

Starbucks $10.00

7%

$

Old Navy $25.00

14%

$

Starbucks $25.00

7%

$

Stop & Shop (NOT TOPS) $100.00

4%

$

Whole Foods Market $100.00

Stop & Shop (NOT TOPS) $25.00

4%

$

Whole Foods Market $25.00

Stop & Shop (NOT TOPS) $50.00

4%

$

Olive Garden ® $25.00

8%

$

Outback Steakhouse $25.00

8%

$

Outback Steakhouse $50.00

8%

Overstock.com $25.00

8%

$

$

8%

$

SUBWAY® Restaurants $10.00

6%

P.F. Chang's China Bistro $25.00

$

8%

$

SUBWAY® Restaurants $50.00

6%

Panera Bread $10.00 Panera Bread $25.00

8%

$

Sunoco $250.00

1%

$

Payless Shoes $20.00

13%

$

Sunoco $50.00

1%

$

Peapod Online Grocery $100.00

4%

$

Supercuts $25.00

8%

$

Make Checks Payable To:

$

Saint Mary School

Total Due All Columns:

$

Loading...

Shop with Scrip Order Form - St. Mary School

Created: 9/18/2017 10:26:13 AM Family Order Form Saint Mary School More selections are available online at www.shopwithscrip.com Please submit order...

145KB Sizes 0 Downloads 0 Views

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