SCRIP ORDER FORM OFFICE USE ONLY Holy Trinity Catholic School Filled by______Checked by______ALL INFORMATION MUST BE COMPLETED Date______Limited Time Denominations: ORDER TOTAL Name______In Stock: ** E-Mail/Contact Number______Profit Allocation **50% Family/50% PTO All Sales Final- No Exchanges School delivery make checks payable to: Child's Name ______Holy Trinity PTO SCRIP Program Grade and Teacher ______Form Updated 10/19/2020 ITEMS IN-STOCK RESTAURANTS cont PROFIT $ QTY TOTAL RETAIL PROFIT $ QTY TOTAL GROCERY PROFIT $ QTY TOTAL Chipotle 10% $10 Ace Hardware 4% $25 Price Chopper 3% $25 Christopher's 10% $25 Amazon.com 2% $10 Price Chopper 3% $100 Cold Stone Creamery 11% $10 Amazon.com 2% $25 Hy-Vee/Drugtown 3% $25 Curbin Cuisine 10% $25 Amazon.com 2% $100 ` Hy-Vee/Drugtown 3% $100 DQ 3% $10 Barnes and Noble 8% $10 Fareway 3% $10 Domino’s 8% $10 Barnes and Noble 8% $25 Fareway 3% $25 Dunkin Donuts 3% $10 Bass Pro Shops 8% $25 Fareway 3% $100 Fazoli's 7% $25 Bath & Body Works 12% $10 Target 2.5% $10 Gilroy's 10% $25 Bath & Body Works 13% $25 Target 2.5% $25 Grounds for Celebration 10% $10 Beaverdale Books 10% $25 Target 2.5% $50 Hardee's 5% $10 Bed Bath & Beyond 7% $25 Target 2.5% $100 IHOP 8% $10 Best Buy 4% $25 Wal-Mart/Sam's 2.5% $10 IHOP 8% $25 Boesen's Florist 10% $10 Wal-Mart/Sam's 2.5% $25 Little Ceasars 8% $20 Dick's Sporting Goods 8% $25 Wal-Mart/Sam's 2.5% $100 Long John Silvers 8% $10 Discover 1.25% $50 GAS PROFIT $ QTY TOTAL McDonalds ** 5% $5 Farrell's Martial Arts/FXB 10% $100 Casey's 3% $25 McDonalds 5% $10 Gap/Old Navy/Ban Rep 14% $25 Casey's 3% $50 Noodles 8% $10 Great Clips 8% $25 Kum & Go 5% $25 Old Chicago 6% $25 Home Depot (seasonal) 4% $10 Kum & Go 5% $50 Olive Garden/Darden 8% $25 Home Depot 4% $25 Kum & Go 5% $100 (seasonal) 8% $5 Home Depot 4% $100 Kwik Star 4% $25 Panera Bread 8% $10 I-Tunes 5% $15 Kwik Star 4% $50 Papa John's 8% $10 Kohl's $ 4% $25 RESTAURANTS PROFIT $ QTY TOTAL Papa Murphy's 8% $10 Kohl's $ 4% $100 Applebee's 8% $25 8% $10 LL Bean 16% $25 Arbys 8% $10 Pizza Ranch 8% $25 Lands End 15% $25 B-Bops 10% $10 8% $25 Learning Post 10% $10 Beaverdale Confections 10% $5 Ruby Tuesday 8% $25 Lowes 4% $25 Blaze 10% $25 10% $10 Lowes 4% $100 Bonefish/Outback 8% $25 (seasonal) 7% $5 Menards 3% $25 Brueggers 7% $10 Starbucks 7% $10 Michaels 4% $25 Buffalo Wild Wings 8% $10 Starbucks 7% $25 Scheels 8% $25 Buffalo Wild Wings 8% $25 6% $10 Shutterfly 9% $25 4% $10 Bell 5% $10 TJ MAXX/Marshalls 7% $25 6% $10 Texas Roadhouse 8% $25 Walgreens 5% $25 Chili's/Macaroni Grill 11% $25 Wendy's 4% $10 Walgreens 5% $100 ITEMS AVAILABLE TO ORDER RETAIL PROFIT $ QTY TOTAL RETAIL PROFIT $ QTY TOTAL Foot Locker/Lady's/Kids 8% $25 RESTAURANTS PROFIT $ QTY TOTAL Aeropostale 10% $25 Game Stop 3% $25 Cheesecake Factory 5% $25 AMC Theatres 8% $25 Groupon 7% $25 Chuck E. Cheese 8% $10 American Airlines 6% $100 J. Crew 13% $25 Cold Stone Creamery 11% $10 American Eagle 10% $25 JC Penney 5% $25 Cracker Barrel 8% $10 American Girl 9% $25 JC Penney 5% $100 Dennys 7% $10 Auto Zone 8% $25 Jo-Ann Fabrics 6% $25 Mimi's Café 8% $25 Bass Pro Shops 10% $100 L.L. Bean 16% $100 O'Charley's 13% $25 Cabela's 10% $25 Homegoods/TJ Maxx 7% $100 P.F. Chang's 8% $25 Cabela's 10% $100 Maurices 7% $20 Steak 'n Shake 8% $10 Century Theaters 4% $25 Men's Wearhouse 8% $25 Chico's 6.5% $25 Mill's Fleet Farm 3.5% $25 Claire's 9% $10 Nordstroms 4% varies Comfort Inn 3% $50 Office Depot 5% $25 Comfort Inn 3% $100 Office Depot 5% $100 Comfort Suites 3% $50 Overstock.com 8% $25 Comfort Suites 3% $100 Sephora 5% $25 See www.shopwithscrip.com for more vendors Container Store 9% $25 Shoe Carnival 5% $25 look for those with physical cards OR sign up Crate & Barrel 8% $25 Southwest Airlines 4% $250 for Presto Pay to use the ScripNow function. Dick's Sporting Goods 8% $100 Staples 5% $25 Dillards 9% $25 Staples 5% $100 Disney 3% $25 Supercuts 8% $25 FILLING SCHEDULE: Disney 3% $100 Talbots 13% $25 MONDAYS Express/Structure 10% $25 T.J. Maxx 7% $100 IN STOCK items are filled and sent home Famous Footwear 8% $25 Ulta 4% $25 OUT-OF-STOCK items are ordered. Finish Line 10% $25 Under Armour 11% $25 THURSDAYS OUT-OF-STOCK items are filled & delivered. IF NO SCHOOL ON MONDAY ORDERS WILL BE FILLED ON TUESDAY Saturday and Sunday