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SFdA Catholic School SCRIP Order Form Orders are due by 8:00am on Monday! [email protected] 928.779.1337

Groceries Retail & Entertainment Amazon (Reload online) $25/$100 2.25% Safeway (Reload online) $25/$100 4% Auto Zone* $25 8% Sam’s Club/Wal-Mart $25/$100/$250 2.5% Barnes & Noble (RO) $10/$25 8% Sprouts $25/$50/$100 5% Bath & Body Works (RO) $10/$25 12% Target $25/$100 2.5% Bed Bath & Beyond (RO) $25/$100 7% Gas 151 * (Reload online) $25/$100 4% Big 5 $25 8% ARCO* (Reload online) $50/$100/$250 1.5% Buckle* $25 8% Exxon* (Reload online) $50/$250 1% Cabela’s* (Reload online) $25/$100 8% Safeway (Reload online) $25/$100 4% Children’s Place* (RO) $25 12% Sam’s Club $25/$100/$250 2.5% Claire’s $10 9% Shell* (Reload online) $25/$100 1.5% CVS/pharmacy* (RO) $25/$100 6% Speedway*(Reload online) $25/$50/$100 4% Dillard’s $25/$100 9% Dining Out in Flagstaff Foot Locker* $25 8% GameStop*(Reload online) $25 3% Arby’s* $10 8% GNC* $25 8% * (Reload online) $10 11% Great Clips* $25 8% Buffalo Wild Wings* (RO) $10/$25 8% Harkins $25 10% * (Reload online) $10 4% HomCo* $25/$100 10% Chili’s (Reload online) $25/$50 11% Home Depot (Reload online) $25/$100 4% Chipotle (Reload online) $10/$25 10% (RO) $10 11% iTunes* (Reload online) $15/$25 5% Cracker Barrel (RO) $10/$25 8% JCPenny’s (Reload online) $25/$100 5% $10 3% Jiffy Lube* (Reload online) $30 8% Del * $10 7% Jo-Ann Fabrics $25 6% Denny’s $10 7% Journey’s* $25 10% Domino’s* (Reload online) $10/$25 8% Kohl’s (Reload online) $25/$100 4% Dunkin Donuts $10/$25 2.5% Marshalls* $25 7% IHOP* (Reload online) $25 8% Maurices* $20 7% $15 4% Michael’s $25 4% La Fonda $25 20% Office Max* $25/$100 5% * (Milton Only) $20 8% Old Navy (Reload online) $25/$100 14% Mike & Ronda’s $20 20% PetSmart $25 5% Olive Garden (RO) $25 8% REI (Reload online) $25 8% Outback (Reload online) $25/$50 8% Ross $25 8% Papa John’s * (RO) $10 9% Sally Beauty Supply* $25 12% Papa Murphy’s Pizza* $10 8% Staples* (Reload online) $25/$100 5% * (Reload online) $10 8% Supercuts* $25 8% (Reload online) $25 8% Sunglass Hut* $25 9% * $10 10% (Reload online) $10/$25 7% Target (Reload online) $25/$100 2.5% (Reload online) $10/$50 6% Walgreen’s $25/$100 5% * $10 5% Wal-Mart/Sam’s Club (RO) $25/100/250 2.5% Roadhouse (RO) $25 8% World Market* $25/$100 7% Wendy’s* $10 6.5% Zappos.com* (RO) $25/$100 8% Wicked AZ Coffee $10 10% Total $

Total $

*Place Scrip orders in-person during school office hours only!

$10 Gift Cards in Stock Barnes & Noble $10 8% Bath & Body Works $10 12% Name: ______Chipotle $10 10% Cracker Barrel $10 8% Phone: ______

Claire’s $10 9% Date: ______Cold Stone Creamery $10 8% Dairy Queen $10 2.5% ___ I will pick up my order at the School Office.

Denny’s $10 7% ___ Please send my order home with my child: Dunkin’ Donuts $10 2.5% Dutch Bros (Temporary) $10 10% Last Name: ______Grade: ______Starbucks $10 7% SFdA Family Credit to: ______Subway $10 6% Thank you for supporting our school! Wicked AZ $10 Booklet $10 20% Total $ Payment is due at time of order. Make checks payable to SFdA.

FOR OFFICE USE ONLY

Date paid____/____/____ check # ______cash ______

*Place Scrip orders in-person during school office hours only:

Monday – Thursday 7:30am-3pm & Friday 7:30am-12pm

We keep a limited amount of cards in stock, so PLEASE pre-order to ensure you have what you need! *Highlighted items are not kept in stock, but can be ordered! Updated: 2/10/2020