San Ramon Elementary PTA Gift Card Order Form (page 1 of 2) Order Date Name Child/Grade/Teacher

Email Address Phone Number(s)

% GROCERY STORES Circle denomination QTY Total RETAIL STORES (valid online too) Circle denomination QTY Total 2% Food Maxx $25 $100 $ 4% Ace Hardware (includes Pini's) $25 $100 $ 5% Harvest Market $20 $ 1.5% Babies-R-Us $20 $ 2% Lucky Supermarket $25 $100 $ 9% Barnes & Noble $10 $25 $100 $ 4% Safeway $25 $100 $ 13% Bath & Body Works $10 $25 $ 3% Smart & Final $25 $100 $ 7% Bed Bath & Beyond $25 $100 $ 3% Whole Foods Market $25 $100 $ 3% Best Buy $25 $100 $250 $ 2% Target $25 $100 $ 8% Big 5 Sporting Goods $25 $ TOTAL FOR GROCERY GIFT CARDS $ 12% Bloomingdale's $25 $100 $ 11% Cabela's $25 $100 $ % GAS AND AUTO Circle denomination QTY Total 9% Claire's $10 $ 1.5% 76/Conoco Gas $25 $100 $ 9% Container Store $25 $100 $ 1.5% ARCO $50 $100 $250 $ 8% Crate and Barrel (or CB2) $25 $100 $ 8% AutoZone $25 $ 6% CVS Pharmacy $25 $100 $ 2.5% Chevron/Texaco $50 $100 $250 $ 3% EB Games/GameStop $25 $ 1.5% Circle K $25 $100 $ 9% Foot Locker (incl. Kids & Lady) $25 $ 1.5% Exxon/Mobil $50 $ 8% GNC $25 $ 2.5% Exxon/Mobil $250 $ 8% Golfsmith $25 $ 1.5% Gulf Oil $25 $ 4% Guitar Center $25 $ 8.0% Jiffy Lube $30 $ 4% Hallmark $25 $ 50% Matt & Jeff - Super Wash $25 $ 4% Home Depot $25 $100 $500 $ 50% Matt & Jeff - 4 pack Wash $100 $ 5% JC Penney $25 $100 $ Please note, Matt & Jeff's is for car wash only - no gas. 4% Kmart $25 $100 $ Kohl's (pay your Kohl account 4.0% Pep Boys $20 $ 4% $25 $100 $ with gift cards!) 7% Sears Auto Service Center $25 $100 $ 4% Lowe's $25 $100 $500 $ Macy's (can be used for large 2.5% Shell $25 $50 $100 $ 10% $25 $100 $ furniture purchases!) TOTAL FOR GAS AND AUTO GIFT CARDS $ 4% Michaels $25 $

4% Office Depot $25 $100 $ % ONLINE RETAILERS Circle denomination QTY Total 4% PetSmart $25 $ 4% Amazon.com $25 $100 $ 9% Pier 1 Imports $25 $ 4% Dell Computer $100 $ 8% *Pottery Barn $25 $100 $ 7% Groupon.com $25 $ 4% Radio Shack $25 $ 10% Harry & David $25 $ 8% REI $25 $ 12% Horchow $50 $ 12% Restoration Hardware $25 $100 $ 5% iTunes® $15 $25 $ 4% Rite Aid $25 $ 16% L.L.Bean $25 $100 $ 12% Sally Beauty Supply $25 $ 8% Land of Nod $25 $100 $ 4% Sears $25 $100 $250 $ 16% Lands' End $25 $100 $ 4% Sephora $20 $ 8% Overstock.com $25 $ 8% Sports Authority $25 $100 $ 9% Shutterfly $25 $ 5% Staples $25 $100 $ 8% Zappos.com $25 $ 12% Sunglass Hut $25 $ TOTAL FOR ONLINE RETAILERS GIFT CARDS $ 2% Target $25 $100 $ 1.5% Toys-R-Us $20 $ % SERVICES Circle denomination QTY Total 6% Walgreens $25 $100 $

8% Great Clips $25 $ 2.5% Wal-Mart $25 $100 $250 $ 5% Merry Maids $50 $ 8% *West Elm $25 $100 $ 12% Nutrisystem $50 $ 8% *Williams-Sonoma $25 $100 $ 8% Supercuts $25 $ TOTAL FOR RETAIL STORES GIFT CARDS $

5% Terminix $50 $ *Pottery Barn cards valid at PB Kids, Williams Sonoma + West Elm TOTAL FOR SERVICES GIFT CARDS $

TIP: LOGON TO escrip.com, USE THE ONLINE MALL TO PLACE AN ORDER, PAY WITH SCRIP GIFT CARDS, AND DOUBLE THE CONTRIBUTION TO OUR SCHOOL! San Ramon Elementary PTA - Gift Card Order Form (page 2 of 2) Order Date Name Child's Name/Grade/Teacher

% RETAIL APPAREL (valid online too) Circle denomination QTY Total % RESTAURANTS/FOOD Circle denomination QTY Total

10% American Eagle $25 $ 8% Applebee's $25 $50 $ 14% **Athleta $25 $100 $ 8% Buca di Beppo $25 $ 14% ** $25 $100 $ 4% California Pizza Kitchen $10 $ 12% Bloomingdale's $25 $100 $ 5% Cheesecake Factory $25 $ 16% Brooks Brothers $25 $ 11% Chili's Grill & Bar $25 $ 12% Children's Place $25 $ 10% Chipotle Mexican Grill $10 $ 9% DSW-Designer Shoe Warehouse $25 $ 8% Chuck E. Cheese $10 $ 10% Eddie Bauer (includes outlet) $25 $ 8% Cold Stone Creamery $10 $ 14% **Gap $25 $100 $ 7% Denny's $10 $ 13% Gymboree $25 $ 8% Domino's Pizza $10 $ 13% J. Crew $25 $ 8% Domino's Pizza $10 $ 8% J. Jill $25 $ 10% Hard Rock Café $25 $ 6% Lane Bryant $25 $ 8% IHOP $25 $ 7% Marshalls (valid at TJ Maxx) $25 $100 $ 7% Jamba Juice $10 $ 8% Men's Wearhouse $25 $ 8% Little Caesar's Pizza $20 $ 8% Motherhood (valid Pea in the Pod) $25 $ 9% Olive Garden $25 $ 12% Neiman Marcus $50 $ 8% Outback Steakhouse $25 $ 12% Nike $25 $ 8% P.F. Chang's $25 $ 14% ** $25 $100 $ 9% Panera Bread $10 $25 $ 13% Payless Shoes $20 $ 8% Papa Murphy's Pizza $10 $ 8% Ross Dress for Less $25 $ 8% Peet's Coffee & Tea $20 $ 7% T.J. Maxx (valid at Marshalls) $25 $100 $ 10% Quiznos $10 $ 13% Talbots $25 $ 9% Rainforest Café $25 $ TOTAL FOR RETAIL APPAREL GIFT CARDS $ 9% Red Lobster $25 $ 10% Ruth's Chris Steak House $50 $ % TRAVEL/ENTERTAINMENT Circle denomination QTY Total 20% See's Candies $16.50 (1 lb.) $16.50 $ 8% AMC Theatres $25 $ 7% Starbucks $10 $25 $ 8% Avis Car Rental $50 $ 3% Subway $10 $50 $ 12% Best Western International $25 $100 $ 10% Tully's Coffee $10 $ 8% Budget Car Rental $50 $ TOTAL FOR RESTAURANT GIFT CARDS $ 8% Carnival Cruise Lines $100 $ 9% Celebrity Cruise Lines $100 $ Cruise gift certificates not valid for onboard credit. Must be booked directly. Number Total $ Cannot be booked through a travel agent. ORDER SUMMARY of Cards Value 4% Choice Hotels International $50 $100 $ Total for Grocery Gift Cards Ordered $ Valid at Choice Hotel, Comfort Inn, Comfort Suites, Clarion Hotel, Econo Lodge, Total for Gas and Automotive Gift Cards Ordered $ Quality Inn, Rodeway Inn and Sleep Inn Total for Online Retailers Gift Cards Ordered $ 4% Century/Cinemark Theatres $25 $ Total for Retail Stores Gift Cards Ordered $ 15% Century/Cinemark-Single ticket $9.50 $9.50 $ Total for Retail Apparel Gift Cards Ordered $ Valid any movie/time - discount vs. adult eve. Price! (3D extra) Total for Travel & Entertainment Gift Cards Ordered $ 2% Disney $25 $100 $1,000 $ Total for Restaurants Gift Cards Ordered $ Valid at Disney Stores, disney.com, Disney owned hotels and resorts, restaurants and Total for Services Gift Cards Ordered theme parks and Disney Cruise Lines (excluding on board credit & excursions) $ 12% Fairmont Hotels and Resorts $100 $

9% Hyatt Hotels and Resorts $50 $100 $ GRAND TOTAL OF ORDER $ 8% Marriott Hotels & Resorts $50 $100 $500 $ Valid at all Marriott, JW Marriott, Renaissance Hotels & Resorts, Courtyards by Marriott, Fairfield Inn and Suites, Springhill Suites, Residence Inn and Marriott Vacation Club PLEASE MAKE CHECKS PAYABLE TO SAN RAMON PTA 8% Ritz-Carlton $50 $50 $ DEPOSIT COMPLETED ORDER FORM AND PAYMENT INTO THE PTA LOCK BOX 8% Six Flags 1-Day Admission Ticket $35 $35 $ IN THE SCHOOL OFFICE, NO ORDER WILL BE PROCESSED WITHOUT PAYMENT Six Flags - Cheapest ticket available anywhere! Expires 12/12 TOTAL FOR TRAVEL/ENT. GIFT CARDS $ YOUR GIFT CARDS CAN BE PICKED UP ON FRIDAYS AT COMMUNITY TIME OR BY ARRANGEMENT, YOU WILL BE NOTIFIED WHEN YOUR ORDER IS READY

**Valid at Athleta, Banana Republic, Gap, Old Navy, and online

PTA/Scrip Coordinator Use Only Order Processed Order Fulfilled Cash Received $______Date Order Placed ______Received By Payment Cash Check Check Amount $______Order Placed ______Payment Received by ______Check # ______By ______Date Received ______