Catholic Schools of Broome County SCRIP REP USE ONLY SCRIP ORDER FORM Revised 2-21-21 Check #

Order due by: noon on Tuesday March 9, , 2021 Amount: $

Please make checks payable to: Catholic Schools of Broome County Profit: Purchaser & Student to receive credit: Delivery Information: This Order: $ Name of purchaser: ______PICK UP AT SCHOOL OFFICE Phone # ______Grade Of Student______Send Home with My Student This Year: $ Student to receive credit: ______in Grade ______Email addess: Important note -- Once SCRIP is delivered to the student, the SCRIP ______rep is no longer responsible for lost or stolen gift cards. Local Vendor % $ QTY Cost Vendor % $ QTY Cost $ 10 Food & Fire 10%$ 25 Buffalo Wild Wings 8% $ 25 Build-A-Bear Workshop 8%$ 25 Little Venice 10% $ 25 4%$ 10 $ 25 Burlington Coat Factory 8% $ 25 McCoy's Chophouse 10% $ 50 $ 25 Cabela's 10% $ 100 Carter's / OshKosh 10%$ 25 Catherine's/LaneBryant/Cacique 8%$ 25 $ 25 Chili's / Macaroni Grill 11% $ 50 Total "A"= $ 10 10% $ 25 Vendor % $ QTY Cost Chuck E. Cheese 8%$ 10 Advance Auto Parts 7%$ 25 (Oakdale Mall) 6% $ 25 $ 25 Claire's 9%$ 10 Amazon.com 2.25% $ 100 11%$ 10 AMC Single Movie Ticket 10% $ 12 Comfort Hotels - Comfort, $ 50 4% AMC Theatres 8%$ 25 Quality, Clarion, Sleep, etc. $ 100 American Eagle 10%$ 25 $ 10 Cracker Barrel 8% $ 25 $ 25 Applebee's 8% $ 50 $ 25 CVS Pharmacy 6% Arby's 8%$ 10 $ 100 AutoZone 8%$ 25 Dave & Buster's 13%$ 25 $ 10 Denny's 7%$ 10 Barnes & Noble 8% $ 25 Dick's Sporting Goods /Golf $ 25 8% $ 100 Galaxy/Field&Stream $ 100 $ 25 $ 50 Bass Pro Shops 10% Discover Universal Gift Card $ 100 1.25% $ 100 (valid only in the US) $ 10 $ 250 Bath & Body Works 12% $ 25 Disney - Theme Parks, Trips, $ 25 Bed Bath & Beyond / $ 25 Cruises, Disney Stores & 3% $ 100 7% Christmas Tree Shops $ 100 Disney Music $ 1,000 $ 25 $ 10 Domino's Pizza 8% Best Buy 4% $ 100 $ 25 $ 250 $ 10 Dunkin' Donuts 3% $ 25 $ 25 Best Western 12% $ 100 Express 10%$ 25 Blaze Pizza (on Parkway) 10%$ 25 Famous Footwear 8%$ 25 Boscov's 8%$ 25 Five Below 2.5% $ 25 Total "B"= Footlocker / Champs 8%$ 25 GameStop 3%$ 25 Guitar Center 4%$ 25 Gulf Oil 1.5%$ 25 Total "C"= Check www.ShopWithScrip.com for a complete list of retailers available and the latest bonuses! Vendor % $ QTY Cost Vendor % $ QTY Cost Hallmark 4% $ 25 Sephora (in JCPenneys) 5%$ 25 Happy Moments (see below ) 8% $ 25 $ 25 Sheetz 3% $ 25 $ 100 $ 100 Shutterfly 9.00% $ 25 Home Depot 4% $ 500 $ 10 Sonic 8% $ 1,000 $ 25 IHOP 8%$ 25 $ 25 Staples 5% $ 15 $ 100 iTunes 5% $ 25 $ 10 Starbuck's 7% J. Crew 13%$ 25 $ 25 $ 25 $ 10 JCPenney ( CANNOT pay JCP 5% 6% charge card balances) $ 100 $ 50 Jo Ann Fabrics 6%$ 25 1%$ 50 Sunoco Journeys 10%$ 25 1%$ 250 $ 25 Sweet Frog 10%$ 10 Kohl's (CAN pay Kohl's charge card 4% balances ) $ 100 5%$ 10 $ 25 Talbot's 13%$ 25 Lands' End 15% $ 100 $ 25 Little Caesar's Pizza 8%$ 20 Target 2.5% $ 50 $ 25 $ 100 LL Bean 16% $ 100 Texas Roadhouse 8%$ 25 $ 25 TGI Friday's 9%$ 25 Lowe's Home $ 100 The Children's Place 12%$ 25 4% Improvement $ 500 TJ Maxx / Home Goods / $ 25 7% $ 1,000 Marshall's $ 100 Men's Wearhouse 8%$ 25 Ulta 4%$ 25 Michael"s 4%$ 25 $ 50 Visa "5 Back" Gift Card Moe's Southwst Grille 6% $ 25 1.25% $ 100 (valid only in the US) $ 25 $ 250 Old Navy /Gap /BananaRep. 14% $ 100 $ 25 Olive Garden 8%$ 25 $ 50 Walmart / Sam's Club 2.5% $ 25 $ 100 Outback / Carrabba's 10% $ 50 $ 250 P.F. Chang's 8%$ 25 $ 25 Walgreen's 5% $ 10 $ 100 8% $ 25 $ 25 Weis Markets 5% $ 50 $ 100 Papa John's 9% $ 10 Wendy's 4% $ 10 Pet Smart 5%$ 25 Williams Sonoma / Pottery $ 25 8% 8%$ 10 Barn $ 100 8%$ 25 $ 25 Zappos.com 8% 11% $ 25 $ 100 Regal Single Movie Ticket 10% $10.50 Gift Card Wrappers 10%$ 2 Regal Entertainment 8%$ 25 Cascading Gift Card File 25%$ 3 Regis Salons 8%$ 25 $ 25 Speedway 4% Ruby Tuesdays 8%$ 25 $ 100 Sally Beauty 12%$ 25

Total "D"= Total "E"= ORDER TOTAL = Happy Moments is a new card that can be used at the following vendors: Cheesecake Factory, Macy's, Red Lobster, Regal, Sephora, Buffalo Wild Wings and Bed Bath and Beyond. Stock up on Spring cleaning supplies at Home Depot and Lowe's. Buy Easter candy/cards at CVS & Walgreens Next order date, Tuesday, April 13, 2021. Any questions, please call Denise Anderson 772-8940