| Name:_____________________________________________________ | SCRIP ORDER FORM | ||||||||
| Phone:_______________________________ Amount enclosed__________ | |||||||||
| _______I give permission for my order to be sent home with ______________ | Kyrene del Cielo PTO | ||||||||
| _________________ in _________________________ class. | Contacts | ||||||||
| Debbie Peltz | |||||||||
| _______I would prefer to pick up my order ____at the Scrip table on Friday | Phone: (480)231-2377 | ||||||||
| afternoon or _____ in the office. | Please call with any questions! | ||||||||
| Item | Description | Qty | Price | Total | Item | Description | Qty | Price | Total |
| National Grocery | |||||||||
| 1151 | Safeway $25 (4%) | $25.00 | |||||||
| Frys $50 (rechargeable) $50.00 | |||||||||
| Bashas $20 (rechargeable) $20.00 | |||||||||
| National Restaurants | |||||||||
| 211 | Applebee's $10 (8%) | $10.00 | 222 | Baja Fresh $10 (7%) | $10.00 | ||||
| 216 | Baskin-Robbins $2 (8%) | $2.00 | 226 | Boston Market $10 (12%) | $10.00 | ||||
| 316 | California Pizza Kitchen $10 (4%) | $10.00 | 302 | Chilis/OntheBorder/Macaroni Grill $10 (11%) | $10.00 | ||||
| 342 | Olive Garden/Red Lobster $10 (9%)(Darden Gift Cards) | $10.00 | 532 | Starbuck's $25 (7%) | $25.00 | ||||
| 531 | Starbucks $10 (7%) | $10.00 | 300 | Cheesecake Factory $25 (3%) | $25.00 | ||||
| Macayos $50 $50.00 | |||||||||
| National Retailers | |||||||||
| 634 | Bed, Bath and Beyond $25 (6%) | $25.00 | 691 | Gap, Old Navy, Banana Republic $25 (9%) | $25.00 | ||||
| 621 | Bath & Body $10 (14%) | $10.00 | 825 | Pier1 $25 (8%) | $25.00 | ||||
| 8262 | Sport's Authority $25 (8%) | $25.00 | 997 | Williams & Sonoma $25 (8%)NEW increased Discount!! | $25.00 | ||||
| Childrens Speciality Stores | |||||||||
| 8472 | Toys R Us $25 (1.5%) | $25.00 | 772 | The Children's Place $25 (11%) | $25.00 | ||||
| Movie/Entertainment | |||||||||
| 661 | Blockbuster $10 (8%) | $10.00 | |||||||
| Electronic/Technology | |||||||||
| 638 | Best Buy $25 (2%) | $25.00 | |||||||
| Book Stores | |||||||||
| 627 | Barnes & Noble $25 (9%) | $25.00 | 626 | Barnes & Noble $10 (9%) | $10.00 | ||||
| 981 | Borders Books $10 (8%) | $10.00 | |||||||
| Home Improvement | |||||||||
| 702 | Home Depot $25 (3%) | $25.00 | Home Depot $50 | ||||||
| This is the new Scrip order form. To order, please fill out and return to school with a check made out to Cielo PTO. This form is also available in the office and on the school website. Gift cards may also be purchased at the Scrip table on Friday afternoons from 2:30 to 3:00 PM by the office. Please call Debbie Peltz at (480)231-2377 with questions and suggestions. Thank you for supporting Cielo! | |||||||||