| Scrip Order Form | |||||||||
| Supporting our school has just gotten easier with the Scrip program. Each time a gift card is purchased through the Scrip program, Scrip will | |||||||||
| donate a percentage of the gift card back to the Kyrene del Cielo PTO. Scrip cards can be used for most of your shopping needs and they make | |||||||||
| great gifts! Order forms will be collected each Wednesday and filled the following Wednesday. All orders will be sent home with your child unless | |||||||||
| otherwise arranged. Thank you for supporting Cielo! | |||||||||
| Questions? Contact Debbie Peltz at (480)231-2377 | |||||||||
| Name: | Student's Name: | ||||||||
| Phone: | Teacher: | ||||||||
| Date: / / / | |||||||||
| Item | Description | Qty | Price | Total | Item | Description | Qty | Price | Total |
| National Grocery | |||||||||
| 1151 | Safeway $25 (4%) | $25.00 | 1183 | Albertson-Jewel-Osco $50 (4%) | $50.00 | ||||
| Fry's $50 (3%) | |||||||||
| Basha's $25 (6%) | |||||||||
| National Restaurants | |||||||||
| 211 | Applebee's $10 (8%) | $10.00 | 230 | Buca di Beppo $25 (8%) | $25.00 | ||||
| 214 | Applebee's $25 (8%) | $25.00 | 226 | Boston Market $10 (12%) | $10.00 | ||||
| 316 | California Pizza Kitchen $10 (4%) | $10.00 | 318 | Claim Jumper $25 (8%) | $25.00 | ||||
| 216 | Baskin-Robbins $2 (8%) | $2.00 | 531 | Starbucks $10 (7%) | $10.00 | ||||
| 300 | Cheesecake Factory $25 (3%) | $25.00 | 532 | Starbuck's $25 (7%) | $25.00 | ||||
| 22225 | Baja Fresh $25 (7%) | $25.00 | 250 | Black Angus Steakhouse $25 (11%) | $25.00 | ||||
| 222 | Baja Fresh $10 (7%) | $10.00 | 233 | Burger King $10 (4%) | $10.00 | ||||
| 302 | Chili's/Macaroni Grill/On the Border $10 (9%) | $10.00 | 311 | Chuck E. Cheese $10 (8%) | $10.00 | ||||
| 303 | Chili's/Macaroni Grill/On the Border $25 (9%) | $25.00 | 296 | Cold Stone Creamery $10 (8%) | $10.00 | ||||
| 283 | Cracker Barrel $25 (9%) | $25.00 | 319 | Del Taco Gift Certificates $5 (5.5%) | $5.00 | ||||
| 331 | Jack in the Box $15 (4%) | $15.00 | 343 | Olive Garden/Red Lobster/Bahama Breeze $25 (9%) | $25.00 | ||||
| 408 | OutBack/Carrabba's Italian Grill $25 (4%) | $25.00 | 418 | P.F. Chang's/Pei Wei Asian Diner $25 (7%) | $25.00 | ||||
| 445 | Quiznos $5 (8%) Paper | $5.00 | 506 | TGIFriday's $10 (8%) | $10.00 | ||||
| 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 (13%) | $10.00 | 825 | Pier1 $25 (8%) | $25.00 | ||||
| 622 | Bath & Body $25 (13%) | $25.00 | 997 | Williams & Sonoma/Pottery Barn $25 (9%) | $25.00 | ||||
| 619 | American Eagle $25 (8%) | $25.00 | 633 | Bass Pro Shops $25 (8%) | $25.00 | ||||
| 8262 | Sport's Authority $25 (8%) | $25.00 | 658 | Brunswick Zone $10 (12%) | $10.00 | ||||
| 654 | Claire's $10 (9%) | $10.00 | 671 | Crate and Barrel $25 (4%) | $25.00 | ||||
| 667 | Dillard's $25 (8%) | $25.00 | 673 | Disney Gift Card $25 (2%) | $25.00 | ||||
| 681 | Eddie Bauer $25 (8%) | $25.00 | 686 | Footlocker $25 (9%) | $25.00 | ||||
| 745 | Kohl's Department Store $25 (4%) | $25.00 | 778 | Linens 'n Things $25 (8%) | $25.00 | ||||
| 829 | Macy's $25 (9%) | $25.00 | 796 | Nike $50 (8%) | $50.00 | ||||
| 830 | Sears $25 (4%) | $25.00 | 8525 | Talbots Gift Card $25 (9%) | $25.00 | ||||
| 807 | TJMaxx/ Marshalls/ HomeGoods/ A.J. Wright $25 (7%) | $25.00 | |||||||
| Childrens Speciality Stores | |||||||||
| 8472 | Toys R Us $25 (1.5%) | $25.00 | 660 | Build-A-Bear Workshop $25 (8%) | $25.00 | ||||
| Movie/Entertainment | |||||||||
| 661 | Blockbuster $10 (8%) | $10.00 | 779 | AMC Loews Cineplex $25 (7%) | $25.00 | ||||
| 669 | Blockbuster Game Card ($8 value) $7 (27%) | $7.00 | 664 | Blockbuster Movie Card $4 (19.25%) | $4.00 | ||||
| Electronic/Technology | |||||||||
| 638 | Best Buy $25 (2%) | $25.00 | 821 | Ritz Camera $25 (6%) | $25.00 | ||||
| Catalog and On-line Stores | |||||||||
| 712 | iTunes $25 (3%) NEW DENOMINATION | $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 | |||||||
| Hotels and Travel | |||||||||
| 1003 | Marriot/Residence Inn/Fairfield Inn $100 (12%) | ||||||||
| Automobile Care/Gas Cards | |||||||||
| 941 | Arco Gas Card $50 (1.5%) | $50.00 | 901 | Chevron Gas $50 (1.5%) | $50.00 | ||||
| TOTAL A: | TOTAL B: | ||||||||
| GRAND TOTAL (TOTAL A+ TOTAL B): | |||||||||
| Please make checks payable to Cielo PTO | |||||||||
| Additional order forms are available in the office and online at www.kyrene.org/schools/Cielo . | |||||||||