| Questions? Please call Susan Tucker |
TRINITY LUTHERAN SCHOOL |
More Retailers online@ |
| 857-3169 or e-mail: susantucker59@hotmail.com |
SCRIP ORDER FORM |
http://www.glscrip.com |
| Name |
Phone |
|
E-mail |
Date |
| |
| Retailer |
Card Value |
Qty |
Cost |
|
Retailer |
Card Value |
Qty |
Cost |
| (circle one) |
|
(circle one) |
| LOCAL |
|
|
|
|
DINING/FOOD |
|
|
|
| 675 Minute Total Access (15%) |
$20 |
|
|
|
Applebee's (8%) |
$25 / $50 |
|
|
| AT&T 120 Min. Card (20%) |
$9.50 |
|
|
|
Baskins Robbins (9%) |
$2 |
|
|
| Ace Hardware (4%) |
$25 / $100 |
|
|
|
Chili's (11%) |
$25 |
|
|
| Best Western (12%) |
$25 / $100 |
|
|
|
Chuck E. Cheese (8%) |
$10 |
|
|
| Blockbuster (7%) |
$10 |
|
|
|
Country Buffet (5%) |
$25 |
|
|
| Burger King (4%) |
$10 |
|
|
|
Cracker Barrel (9%) |
$10 |
|
|
| Checker Auto Parts (8%) |
$25 |
|
|
|
Denny's (7%) |
$10 |
|
|
| Comfort Inn (4%) |
$50 / $100 |
|
|
|
Hardee's (8%) |
$10 |
|
|
| Domino's Pizza (8%) |
$10 |
|
|
|
Harry & David (10%) |
$25 |
|
|
| Exxon/Mobile (1.5%) |
$50 |
|
|
|
Olive Garden (9%) |
$25 |
|
|
| Exxon/Mobile (2%) |
$250 |
|
|
|
Outback Steakhouse (8%) |
$25 |
|
|
| KFC (8%) |
$5 |
|
|
|
P.F. Chang's (8%) |
$25 |
|
|
| K-Mart (4%) |
$25 / $50 |
|
|
|
Panera Bread (9%) |
$10 |
|
|
| Pizza Hut (8%) |
$10 |
|
|
|
Red Lobster (9%) |
$25 |
|
|
| Radio Shack (4%) |
$25 |
|
|
|
See's Candies (23%) |
$15.60 |
|
|
| Safeway (4%) |
$25 / $100 |
|
|
|
Starbucks (7%) |
$10/$25 |
|
|
| Sears (4%) |
$25/$100/$250 |
|
|
|
TGI Friday's (9%) |
$25 |
|
|
| Shell (1.5%) |
$25/$50/$100 |
|
|
|
BOOKS/CRAFTS/MISC. |
|
|
|
| Subway (3%) |
$10/$50 |
|
|
|
B. Dalton Books (9%) |
$10/$25/$100 |
|
|
| Smart Style @ Wal-Mart (8%) |
$25 |
|
|
|
Barnes and Noble (9%) |
$10/$25/$100 |
|
|
| Walgreen's (6%) |
$25 / $100 |
|
|
|
Borders (9%) |
$10 / $25 |
|
|
| Walmart (2%) |
$25/$100/$250 |
|
|
|
Waldenbooks (9%) |
$10 / $25 |
|
|
| Wendy's (4%) |
$10 |
|
|
|
Amazon.com (4%) |
$25 / $100 |
|
|
| |
|
|
|
|
GNC (8%) |
$25 |
|
|
| SPORTS/HUNTING |
|
|
|
|
JoAnn Fabrics (6%) |
$20 |
|
|
| Cabela's (11%) |
$25/$100 |
|
|
|
iTunes (5%) |
$15 / $25 |
|
|
| |
|
|
|
|
TOYS/KIDS |
|
|
|
| CLOTHING/SHOES |
|
|
|
|
Kids, Toys, Babies R' Us (1.5%) |
$20 |
|
|
| Am. Eagle Outfitters (10%) |
$25 |
|
|
|
HOME/HOME DECOR |
|
|
|
| Claire's (9%) |
$10 |
|
|
|
Bath & Body Works (13%) |
$10 / $25 |
|
|
| Dillard's (9%) |
$25 / $100 |
|
|
|
Bed, Bath & Beyond (7%) |
$25 |
|
|
| Foot Locker Stores (9%) |
$25 |
|
|
|
Home Depot (4%) |
$25 / 100 / 500 |
|
|
| Gap (Gap Tri-Card) (9%) |
$25 |
|
|
|
Lowe's Home Improvement(4%) |
25 /100 /500 /1000 |
|
|
| Herberger's (8%) |
$25 / $100 |
|
|
|
Menard's Home Centers (3%) |
$25 / $100 |
|
|
| JCPenny's (5%) |
$25 / $100 |
|
|
|
Pier 1 Imports (9%) |
$25 |
|
|
| Kohl's (4%) |
$25 / $100 |
|
|
|
TRAVEL/GAS |
|
|
|
| L.L. Bean (15%) |
$25 / $100 |
|
|
|
BP Gas (2%) |
$50 / $100 |
|
|
| Land's End (16%) |
$25 / $100 |
|
|
|
BP Gas (3%) |
$250 |
|
|
| Macy's (10%) |
$25 / $100 |
|
|
|
Chevron (1.5%) |
$50 / $100 |
|
|
| Maurices (7%) |
$20 |
|
|
|
Chevron (2%) |
$250 |
|
|
| Old Navy (Gap Tri-Card) (9%) |
$25 |
|
|
|
Exxon/Mobile (1.5%) / (2%) |
50 / $250 |
|
|
| Payless Shoes (13%) |
$20 |
|
|
|
Shell (1.5%) |
$25/ $50/ $100 |
|
|
| Ross (8%) |
$25 |
|
|
|
Sinclair's (2%) |
$25 / $100 |
|
|
| Shopko (3%) |
$25 / $50 |
|
|
|
Best Western (12%) |
$25 / $100 |
|
|
| T.J. Maxx (Tri-Card) (7%) |
$25 / $100 |
|
|
|
Hyatt Hotel's (9%) |
$25 / $100 |
|
|
| |
|
|
|
|
Quality Inn (4%) |
$25 / $100 |
|
|
| OFFICE SUPPLIES |
|
|
|
|
American Airlines (8%) |
$100 / $250 |
|
|
| Best Buy (3%) |
$25 / 100/ 250 |
|
|
|
Carnival Cruises (8%) |
$100 |
|
|
| Office Max (5%) |
$25 / $100 |
|
|
|
Disney Gift Card (2%) |
25/ $100 / 1000 |
|
|
| Staples (5%) |
$25 / $100 |
|
|
|
Marriott (8%) |
$50/ $100 /500 |
|
|
| Order Total: |
|
Cash/Check #: |
| |
