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Scrip Order Form SCRIP ORDER FORM (due at office Friday by 3 pm) DELIVERY I'll pick up at Admin Bldg on Friday Make check payable to Woodworth Scrip Parent Name OPTIONS: I'll pick up at office @ ________________ School on Friday Child's Name Phone: DELIVERY Send home with my child @ _____________ School Questions: Call Eileen Shapiro @ 921-2417 12/10/12 PLEASE NOTE NEW VENDORS IN BOLD Woodworth not responsible for lost or stolen scrip email address: Vendors Profit Value Qty Total Vendors Profit Value Qty Total 76 Gas 1.5% $25 Container Store (also $100s) 9% $25 Ace Hardware (also $100s) 4% $25 Cool Beans & Bagels 10% $5 Advance Auto Parts 7% $25 Cousin's (N. Main St. & S Main) 10% $5 Aeropostale 7% $25 Cousin's debit card (any Cousin's) 9% $10 Ala Roma FOR DELIVERIES (paper) 10% $10 Cracker Barrel (also $25) 9% $10 Ala Roma / Schmitty's (also $25s) 10% $10 Crate and Barrel Land of Nod/CB2 (also $100) 8% $25 Albertson's/Jewel-Osco/Savon 4% $25 Crazy 8 13% $25 Albertson's/Jewel-Osco/Savon 4% $100 Creative Memories Kathy Rhodes 5% $10 amazon.com (also $100s) 3% $25 Creative Memories @ 922-1996 10% $50 AMC / Loew's Movie Single Ticket 10% $9.50 Cub Foods (also $100) 2% $25 AMC Movie Theaters 7% $25 Cujak's Wine Market LLC 3% $10 American Airlines (also $250) 8% $100 Culver's (also $15 or $20) 8% $10 American Eagle 10% $25 Culver's (also $30 or $50) 8% $25 American Girl (also $100) 9% $25 CVS (also $100s) 6% $25 Applebee's (also $20) 10% $10 Dairy Queen East 10% $5 Applebee's (also $25) 8% $50 Dairy Queen West 10% $5 Arby's 8% $10 Del Taco 4% $10 Arco (also $100s) 2% $50 Dell 4% $100 Arco 3% $250 Dennis Uniforms 5% $20 AT&T (125 min.) 20% $9.50 Denny's 7% $10 Auto Zone 7% $25 Dick's Sporting Goods 8% $25 Avis Car Rental 8% $50 Dillard's (also $100) 9% $25 Avon: Sandie Ritchie 923-0539 10% $10 Disney Gift Card 2% $25 Avon: Sandie Ritchie 923-0539 10% $20 Disney Gift Card (also $1000) 2% $100 A&W FDL 12% $5 n/a n/a Domino's Pizza 8% $10 BP Gas Card (also $250 @ 3%) 2% $50 Double Dutch Ranch 1 hr riding lesson 10% $25 BP East Shore Min Mart 3% $10 Dress Barn 8% $25 BP East Shore Min Mart 3% $20 Dunham's Sporting Goods 8% $25 Backyard Grill 5% $25 Dunkin Donuts 4% $10 Bagelmeister 10% $5 Eaton's Pizza 10% $5 Barnes & Noble/B Dalton 9% $10 Econo-Dry Cleaners (also $10) 15% $5 Barnes & Noble/B Dalton (also $100) 9% $25 Eddie Bauer 10% $25 Bass Pro Shops (also $100s) 9% $25 Einstein Bros. Bagels 10% $10 Bath & Body/White Barn 13% $10 El Pollo Loco 6% $10 Bath & Body/White Barn (also $40) 13% $25 El Torito 8% $25 bd's Mongolian Grill 8% $20 Express/Structure 10% $25 BedandBreakfast.com 10% $50 Express Convenience (Korneli) (also $50) 15% $25 Bed, Bath, & Beyond 7% $25 Express Convenience (Korneli) (also $200) 15% $100 Best Buy 3% $25 Exxon / Mobil (also $250 @ 2%) 1.5% $50 Best Buy (also $250) 3% $100 Fairmont Hotels 12% $100 Best Western (also $100) 12% $25 Family Christian Stores 9% $25 Black Angus Steakhouse 12% $25 Family Video 12% $10 Bloomingdale's (also $100) 12% $25 Fannie May Candies 25% $10 Bob Evans 10% $10 Faro's (not for use w/other discounts) 5% $5 Body Shop 8% $25 Faro's (not for use w/other discounts) 5% $10 Book World (also $15, $20, $25) 9% $10 Fashion Bug / Lane Bryant 8% $25 Boxcov's 8% $25 Fat Joe's (also $25) 5% $10 Boston Market 12% $10 Fay's Fun & Learning (also $20) 5% $5 Bravo / Brio / Bon Vie 12% $25 Fazoli's 7% $25 Brooks Bros. 16% $25 Festival Foods 3% $50 Bruegger's Bagels 5% $10 Festival Foods 3% $100 Bruster's Ice Cream 8% $10 Finish Line 10% $25 Buca Di Beppo Italian Restaurant 8% $25 Fleet Farm 5% $10 Buckle 8% $25 Fleet Farm 5% $25 Budget Car Rental 8% $50 Fleet Farm 5% $50 Buffalo Wild Wings 8% $25 Fleet Farm 5% $100 Build-A-Bear Workshop 8% $25 Flood Oil of Eden (choose denomination) 2% $50 Burger King 4% $10 Fond du Lac Seafood Co., LLC 5% $10 Cabela's (also $100) 11% $25 Food Emporium (also $100) 4% $25 California Pizza Kitchen 4% $10 Foodlife 12% $25 Car'ls Jr. 5% $10 Footlocker/Lady Footlocker/Champs 9% $25 Carlos O'Kelley's 9% $10 Friar Tuck's/Salty's/Sebastian's 5% $5 Carnival Cruises (restrictions apply) 8% $100 Friar Tuck's/Salty's/Sebastian's 5% $10 Cartridge World (also $50) 10% $20 (also $15, $20) 5% $25 Cascading Gift Card File 25% $2.96 Game Stop (EB Games) 3% $25 Casual Male 9% $25 Gander Mountain 8% $25 Celebrity Cruises (restrictions apply) 9% $100 GAP / Old Navy / Banana Republic 14% $25 Champps Restaurant 8% $25 Georgetown Clnrs 10% $20 Cheesecake Factory 5% $25 Gift Card Wrappers Asst. (16) 20% $5.60 Chevron (also $100 ) 1.5% $50 Gilles Frozen Custard (also $10) 10% $5 n/a n/a Chevron 2% $250 Gino's (also $10, $15, $20 ) 7% $5 Chili's 9% $25 Gino's (also $30, $50) 7% $25 Choice Hotels -- Comfort Inn, Sleep Inn 4% $50 GNC 8% $25 Choice Hotels -- Comfort Inn, Sleep Inn 4% $100 Golfsmith 8% $25 Cinemark 15% $9.50 Gordman's 7% $25 Cobblestone Hair Studio Great Harvest 6% $10 Independent Stylists -- circle one Guitar Center 4% $25 Amy Blanca Candace Cheryl 5% $20 Gulf Oil 2% $25 Faith Janice Jennifer Julie S 5% $20 Gymboree 13% $25 Julie W Kathy Kim Kristina 5% $20 Haentze Florists 10% $25 Liz Lois Mary Meloni 5% $20 Hallmark Gold Crown 4% $25 Pam Sara (tanning) Yvonne 5% $20 Hard Rock Café 10% $25 Chipotle Restaurant 10% $10 Hardee's 5% $10 Chuck E. Cheese 8% $10 H & M 5% $25 Claire's / Afterthoughts / Icing 9% $10 Harry & David 10% $25 Coldstone Creamery 8% $10 Holiday Stations 2% $25 Section #1 Subtotals Section #2 Subtotals Vendors Profit Value Qty Total Vendors Profit Value Qty Total Holiday Wrappers (10) 10% $2 Pizza Hut 8% $10 Home Depot (also $100, $500, $1,000)) 4% $25 Pizza Ranch (also $15, $25, $30) 7% $20 Home Shopping Network 6% $25 Pottery Barn/Williams Sonoma 8% $25 Honey Baked Ham 12% $10 Qdoba 7% $25 Hyatt Hotels (also $50 or $100) 9% $25 Quizno's 10% $10 Honey Baked Ham 12% $10 Radio Shack 4% $25 Hyatt Hotels (also $50 or $100) 9% $25 Red Cabin @ Green Acres ($10 or $20) 7% $25 i-Tunes (also $25) 5% $15 Red Lobster/Olive Garden/Longhorn 9% $25 Idlewile Inn (also $20) 5% $10 Red Robin 9% $25 Jack in the Box 4% $10 Regal Entertainment (UA) 15% $9.50 Jamba Juice 7% $10 Regal Entertainment (UA) 8% $25 JC Penney CANNOT PAY CHARGE 5% $25 Regal Painting, LLC 5% $250 JC Penney CANNOT PAY CHARGE 5% $100 Regis Salons 8% $25 J Crew 13% $25 REI 8% $25 Jet Stream 10% $10 Renaissance Salon / Spa 10% $10 Jet Stream 10% $20 Renaissance Salon / Spa (also $50) 10% $25 Jiffy Lube 8% $25 Restaurant.com 50% $20 J Jill 8% $25 Restoration Hardware (also $100) 12% $25 Jimmy John's 5% $5 Rite Aid 4% $25 JoAnne Fabrics 6% $25 Ritz-Carlton 8% $50 Journeys 10% $25 Rock Bottom / Old Chicago 6% $25 Kay Jewelers 6% $50 Rocky Mt. Chocolate Factory 11% $10 KFC 8% $5 Rocky Rococo 10% $5 K-Mart (also $50) 4% $25 Rolling Meadows Golf Course ( $100) 5% $25 Kohl's 4% $25 for green fees & pro shop (not food) 5% $50 Kohl's 4% $100 Ruby Tuesday's 8% $25 Krail Jewelers 3% $25 Ruth's Chris Steakhouse 10% $50 Kwik Trip 9% $25 Sally's Beauty Supply 12% $25 Kwik Trip (also $50) 9% $100 Schreiner's 5% $5 Kwik Trip GAS ONLY (also $100) 9% $25 Schreiner's (also $20) 5% $10 Land's End (also $100) 16% $25 Sears (also $100 or $250) 4% $25 Landry's (Rainforest, Golden Nugget) 9% $25 See's Candies 20% $16.90 Landry's (Rainforest, Golden Nugget) 9% $100 See's Candies 9% $25 Ledgeview Lanes (also $5, $20) 5% $10 Sentry (also $50) 3% $10 NOT FOR LEAGUE BOWLING 5% $20 Sephora 4% $20 Lettuce Entertain You 12% $25 Shaklee (Mary @ 923-2198) 8% $10 Limited 9% $25 Shell Prepaid Gas (also $50s & $100) 2.5% $25 Little Caesar's 8% $20 Shoe Carnival 5% $25 L L Bean (also $100) 16% $25 Shopko (also $50) 3% $25 Long John Silver's 8% $5 Shutterfly.com 9% $25 Longhorn Steakhouse 9% $25 Silica Appliance 2% $50 Lord & Taylor 8% $25 www.mysilpada.com/tamara.harms 15% $25 Lou Malnati's 8% $10 call Tamara Harns @ 920-602-3178 Lowe's Home Imp.(also $100) 4% $25 Sinclair (also $100s) 2% $25 Lowe's Home Imp.(also $1000) 4% $500 Six Flags 8% $37.75 Lowe's $20 Teacher Apprec Card 4% $20 Smashburger 10% $10 Macy's / Marshall Field's (also $100) 10% $25 Sombrero's (also $20) 10% $10 Main Exchange 5% $5 SpaFinder 12% $25 Mancino's 7% $5 Spaghetti Warehouse 18% $20 Marathon Oil (also $100 or $250) 3% $25 Spartan Stores (also $100) 2% $25 Marcus Resorts/Theaters (also $100) 9% $25 Spectrum Skating - 5 punches 5% $10 Marriott (also $100 or $500) 8% $50 Speedway (also $100) 4% $25 Mary Kay (Mary @ 923-2198) 10% $10 Speedway Food Court (fast food items) 7% $20 Maurice's 7% $20 Sports Authority/Sportmart (also $100) 8% $25 MC Sports 8% $25 Stage Stores (Bealls, Goodys,Peebles,Palais Royal) 8% $25 McDonald's 5% $10 Staples (also $100) 5% $25 Meijer (also $100s) 3% $25 Starbucks (also $5 Teacher Card; also $25) 7% $10 Menard's 3% $25 Stater Brothers (also $100) 5% $25 Menard's 3% $100 Steak 'n Shake 8% $10 Men's Wearhouse 8% $25 Stuart's Landscaping 5% $25 Michael's Crafts 4% $25 Subway (also $50) 3% $10 Mike's Music (not for rentals) 10% $25 Suds ' N Go Car Wash (also $20, $30) 10% $10 Mike's Music (not for rentals)(also $100) 10% $50 Sunglass Hut 12% $25 Motherhood Maternity 8% $25 Sunoco (also $250 @ 2%) 1.5% $50 Neiman Marcus 12% $50 Superamerica (also $100) 4% $25 Nick & Willy's Pizza 5% $25 SuperCuts 8% $25 Nike 12% $25 Sweet Tomatoes / Souplantation 8% $25 Noodles 8% $10 Taco Bell 5% $10 O'Charley's 13% $25 Taco John's 10% $5 Office Depot (also $100) 4% $25 Talbot's 13% $25 Office Max 5% $25 Target (also $10 thru 12/31 and $100) 2% $25 Omaha Steaks 11% $25 Texaco 2% $25 Orvis (also $100) 17% $25 Texas Roadhouse 8% $25 Outback 8% $25 TGI Fridays 9% $25 Overstock.com
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