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Gift Card Order Form

Gift Cards = $crip

Name  
Email  
Phone  
Order Date  
Student/Family Name   Optional
(Please name the student or family that should receive credit for this order.)
 
Standing Order   One Time
Weekly
Biweekly
Monthly
Other
 
Order Pickup   School Office
Educare
Other

Groceries School
Profit
Value Quantity Total
Albertsons 4% $25 $
$100 $
Egger's Meats 5% $10 $
$20 $
Fred Meyer* 5% $25 $
$50 $
$100 $
Rosauer's/Huckleberry's 5% $10 $
$20 $
Safeway 4% $25 $
$100 $
Restaurants School
Profit
Value Quantity Total
Applebee's 8% $25 $
Arby's 8% $10 $
Black Angus 12% $25 $
Burger King 4% $10 $
Carl's Junior 5% $10 $
Chuck E. Cheese 8% $10 $
ColdStone Creamery 8% $10 $
Dairy Queen 9% $5 $
Domino's 8% $10 $
Full Moon Expresso - Coffee Works
(worth $25)
40% $20 $
Great Harvest Bread Co. 6% $10 $
Honey Baked Ham 12% $10 $
Jack in the Box 4% $10 $
KFC 8% $5 $
McDonald's 10% $5 $
Little Caesars 8% $20 $
Mustard Seed/Noodle Express 10% $25 $
Olive Garden 9% $25 $
Outback Steakhouse 8% $25 $
Papa Murphy's 10% $5 $
P.F. Changs 8% $25 $
Pizza Hut 8% $10 $
Red Lobster 9% $25 $
Red Robin 9% $25 $
Starbucks 7% $10 $
$25 $
Subway 3% $10 $
Wake Up Call 10% $10 $
$25 $
Wendy's 4% $10 $
Gas/Automotive School
Profit
Value Quantity Total
Chevron 1.5% $50 $
Exxon/Mobil Oil 1.5% $50 $
Holiday 2% $25 $
$50 $
Hotels School
Profit
Value Quantity Total
Best Western Hotel 12% $25 $
$100 $
Comfort Inn 4% $50 $
$100 $
Marriott Hotels 8% $50 $
$100 $
$500 $
Merchants School
Profit
Value Quantity Total
Aeropostale 7% $25 $
AMC Theaters 7% $25 $
AMC Theaters (one ticket) 16% $9.50 $
American Eagle Outfitters* 10% $25 $
AT&T Phone Card (120) 20% $9.50 $
Banana Republic (Gap Tri Card) 14% $25 $
Barnes & Noble/B. Dalton 9% $10 $
$25 $
Bath and Body 13% $10 $
$25 $
Best Buy 3% $25 $
$100 $
Cabelas* 11% $25 $
$100 $
The Children's Place 12% $25 $
Claire's 9% $10 $
Game Stop 3% $25 $
The Gap/Gap Kids (Gap Tri Card) 14% $25 $
Great Clips (adult) 7% $14 $
Great Clips (kids) $11 $
Hastings 5% $10 $
$20 $
HAV Western Wear 7% $10 $
$20 $
Home Depot* 4% $25 $
$100 $
iTunes 5% $15 $
$25 $
JoAnn Fabrics 6% $20 $
Kohl's 4% $25 $
Lowe's Home Improvement 4% $25 $
$100 $
Macy's* 10% $25 $
Michael's 4% $25 $
Office Depot 4% $25 $
Old Navy (Gap Tri Card) 14% $25 $
Payless Shoes 13% $20 $
Petsmart 4% $25 $
J.C. Penney* 5% $25 $
$100 $
Pier 1 Imports 9% $25 $
Regal Cinemas 8% $25 $
Regal Cinemas (one ticket) 15% $9.50 $
REI Sporting Goods 8% $25 $
Rite Aid 4% $25 $
Ross Dress for Less 8% $25 $
Sears* 4% $25 $
Shopko 3% $25 $
Sports Authority 8% $25 $
Staples 5% $25 $
Target 2% $25 $
$100 $
T.J. Maxx 7% $25 $
Toys R Us 1.5% $20 $
Walgreen's 6% $25 $
Wal-Mart 2% $25 $
$100 $
Williams Sonoma (Pottery Barn) 8% $25 $
 
Grand Total $

Special Notes




Orders may be paid with check or cash.
You can order online and pay electronically if you have automatic bill paying with your bank.
(If you do this, please have you bank put Scrip in the memo field of the check.)
We cannot release gift cards/scrip without payment.

Please contact stmarysscrip@hotmail.com with any questions.

St. Mary's Catholic School
14601 E. 4th Ave.
Spokane Valley WA 99216
509.924.4300

The Scrip Office will contact you to let you know when your order is ready.

Land's End Preferred School Number #9000-5687-0

Italic font indicates gift cards/scrip in stock in the office.

*Indicate $crip certificates or cards CANNOT be used to pay on store account.
**Indicates $crip may be used to pay on account
***Only available until cards in stock are sold.



   phone: 509.924.4300   
   email: principal@stmarysspokane.org   
   14601 E. Fourth Avenue, Spokane Valley, WA, 99216   

Copyright © 2012 St. Mary's Catholic School.   All Rights Reserved.