St. Patrick Catholic School - Scrip Order Form

Order Information Phone: ______General Information 1. Orders can also be placed by sending an email Name: ______to [email protected] 2. Order using your online account Order Date: ______3. For a list of additional cards that can be ordered and for more information on ScripNow & PrestoPay, Order Total: $______Ck#: _____ go to our website www.cfcatholicschool.org and click Make checks payable to St. Patrick School on "Order Scrip" I = Inventory typically on hand Go to www.shopwithscrip for more retailers. Add any additional S = ScripNow ecards may be purchased online items you'd like to the blank area on the back.

LOCAL SCRIP GREAT MakeLAKES che+F17cks SCRIP payabl+A19:N38e to St. Patrick School Local Circle one Rebate Qty Cost Great Lakes Circle one Rebate Qty Cost 4 Queens (closed Nov-Jan) $10 15% Ace Hardware $25 4% Brad's Corner Drug $10 6% Advance Auto Parts $25 7% Brown Bottle - Waterloo $20 5% Amazon.com S,I $25/$100 2.5% Community Motors $25 10% American Eagle S $25 10% Culligan Water Cond $10 10% Applebee's S,I $25/$50 8% Cup of Joe I $5/$10 10% Arby's $10 8% Dalton Plumbing/Heating $25/$100 3% Barnes & Noble S $10/$25/$100 8% Dan Deery Mtrs-parts/serv $25/$100 10% Bass Pro Shops S $25/$100 9% Deery Bros Collision Ctr $100 3% Bath & Body Works S,I $10/$25 13% Famous Dave's $10/$25 10% Bed Bath & Beyond S $25/$100 7% Fareway I $25/$50/$100 3% Best Buy S $25/$100 4% Fix Tire Company $20 5% Best Western $25/$100 12% Get Air - 1 hour pass * Little Air pass $8 15% BP $50/$100 1.5% Get Air - 1 hour pass ** Big Air pass $13 15% Buckle S $25 8% Godfather's Pizza - CF I $5/$10 9% Buffalo Wild Wings S $10/$25 8% Here's What's Poppin $5 10% S $10 4% Sports Supply $10/$25 10% Cabela's S $25/$100 11% Jiva $25/$50/$100 15% Caribou S $10 6% John Deery parts/service $25/$100 10% Carter's S $25 10% Maid Rite - Cedar Falls Min. of 2 at $5 10% Caseys I $10/$25/$50 3% Main Street Sweets $10 10% Children's Place S $25 12% Medicap (See Brad's) $10 6% Chili's Grill & Bar S $25/$50 11% Mulligans $10/$25 10% S $10/$25 10% Music Station $10 4% Claire's $10 9% Other Place (The OP) $10 5% S $10 8% Pablos $10 10% CVS Pharmacy S $25/$100 6% Pepperjax Grill - Cedar Falls $10/$25 10% $10 3% Peppers $5 (Min. 2)/$10 5% Dennis Uniform $20 5% Pump Haus $10/$25 15% Dick's Sporting Goods $25/$100 8% Rudy's $10 10% Dillard's $25/$100 9% Restaurants I $10/$25/$50 6% Discover® Gift Card $50/$100/$25 1.25% Taco John's $10 5% Disney S $25/$100 3% Tandem Tire $25/$50 5% Domino's S $10/$25 8% Toad's Bar and Grill $10/$20 5% Dunkin' Donuts S $10/$25 2.5% Tony's La Pizzeria $25 10% Express S $25 10% Vintage Iron $10/$25 10% Famous Footwear $25 8% Whiskey Road $25 10% Finish Line $25 10% Wild Hare Bar & Grill $10/$20 5% 1-800Flowers/Flowerama S $50 12% Zsavooz Lounge & Grill $10/$20 10% GameStop S $25 3% GNC $25 8% Get Air passes: Little Air * Jumpers under 46" Hampton Inn $100 2% Big Air ** Jumpers over 46"

9/3/2020 GREAT LAKES SCRIP Great Lakes Circle one Rebate Qty Cost If you can't find what you're looking for on our order form, go Hardee's $10 5% to www.shopwithscrip.com and click on 'Retailers' at the top. Hilton $100/$500 2% Add any additional items you'd like to order in the blank form Home Depot S $25/$100 4% Home Goods S $25/$100 7% below. IHOP S $25 8% iTunes S $15/$25 5% Additional Great Lakes Scrip Jiffy Lube S $30 8% Great Lakes Denomination Rebate Qty Cost Jo-Ann Fabric $25 6% Journeys $25 10% Kohl's S,I $25/$100 4% Kwik Trip I $25/$50/$100 4% Lands' End S $25/$100 16% Little Caesar's Pizza $20 8% Long John Silver's $10 8% LongHorn Steakhouse S $25 8% Lowe's S $25/$100 4% Marcus Theatres S,I $25 9% Maurices $20 7% McDonalds I $10/$25 5% Menards $25/$100 3% Michaels $25 4% Nike S $25 12% Old Navy/Gap/BananaRep S $25/$100 14% Olive Garden S $25 8% Oshkosh S $25 10% Overstock.com S $25 8% S,I $10/$25 8% Papa John's Pizza S $10 8% Papa Murphy's Pizza $10 8% S $10 8% Pizza Ranch $25 8% S $25 8% Ross Dress for Less $25 8% Scheels $25 8% Sears S $25/$100 4% Shoe Carnival $25 5% Shutterfly S $25 9% Staples S $25/$100 5% S,I $10/$25 7% Looking for a gift, but don't know which Scrip T.J. Maxx S $25/$100 7% certificate to order? Order a generic Scrip Tanger Outlets $25 8% certificate. The recipient can choose the Scrip Target S,I $25/$50/$100 2.5% they want. Texas Roadhouse S $25 8% ULTA S $25 4% Under Armour S $25 11% To:______Village Inn S,I $25 13% Walgreens $25/$100 5% From: ______Walmart S,I $25/$50 2.5% Walmart S,I $100/$250 2.5% Amount: ______Wendy's $10 4% Zappos.com S $25/$100 8%

To:______

From: ______

Amount: ______

9/3/2020