NORTHWOODS ELEMENTARY SCHOOL SCRIP gift card program

Adult’s Name: Date: Check #:

Address: Email: Phone:

I agree that Northwoods Elementary School and the Northwoods Elementary School PTO will not be held responsible for lost or stolen Scrip cards during the transportation of said Scrip cards to me.

Signed: Date:

The choice for receipt of my Scrip Cards is:  Send home in a sealed envelope with my student Student Name: Grade: Teacher:  Please call me to make arrangements to pick up my Eagles Gold

**All orders must be accompanied by a check (made payable to Northwoods Elementary PTO) or cash. Scrip orders are due Fridays by 3:30 p.m.*** Orders in by Friday at 3:30 p.m. will be ready the following Friday.

Please select the Scrip cards you would like to purchase. Make sure you fill in the quantities and the dollar amount. We have provided the minimum rebate percentage the school will receive back from your generous purchase.

Product Rebate Value Qty Total RETAILERS Product Rebate Value Qty Total Ace Hardware 4% $25/$100 RETAILERS CONTINUED Advance Auto Parts 7% $25 Office Max/Office Depot 5% $25/$100 Aeropostale 10% $25 Payless Shoes 13% $20 American Eagle Outfitters 10% $25 PetSmart 4% $25 AutoZone 8% $25 Pier 1 Imports 9% $25 Bath & Body Works/ Sally Beauty Supply 12% $25 13% $10/$25 White Barn Candle Co $25/$100 Sears/Sears Automotive 4% $25/$100 $250 Best Buy 4% $250 Shopko 3% $25/$100 Buckle 8% $25 T.J. Maxx/Marshalls/ 7% $25/$100 Cabela’s 11% $25/$100 HomeGoods Children’s Place 12% $25 $10/$25 Target 2.5% Claire’s/Icing 9% $10 $50/$100 $10/$25 ULTA 4% $25 CVS 6% $100 Under Armour 11% $25 Dressbarn 8% $25 Walgreens 6% $25/$100 Express/Express for Men 10% $25 $25/$100 Walmart/Sam’s Club 2.5% Family Video 12% $10 $250 GameStop 3% $25 Younkers/Herbergers 8% $25/$100 Gander Mountain 8% $25 RESTAURANTS Gap/Old Navy/Banana 14% $25/$100 Applebee’s 8% $25/$50 Republic Arby’s 8% $10 Gymboree 13% $25 Buffalo Wild Wings 8% $10/$25 Hallmark 4% $25 4% $10 $25/%100 Home Depot 4% 6% $10 $500/$1000 10% $10 JCPenney 5% $25/$100 8% $10 Jo-Ann Fabrics 6% $25 Cousins Subs 9% $10 Journeys 10% $25 Kohl’s (fundraiser nights Sept – 3% $10 (can be used to pay 4% $25/$100 May) Kohl’s credit card in store) Denny’s 7% $10 Lands’ End 16% $25/$100 Domino’s Pizza 8% $10 Limited 9% $25 Dunkin’ Donuts 3% $10/$25 Lowe’s 4% $20/$25/$100 Fazoli’s 7% $25 $500/$1000 Great Harvest Bread 6% $10 Macy’s 10% $25/$100 Hardee’s 5% $10 Maurices 7% $20 Little Caesar’s Pizza 8% $20 Men’s Wearhouse 8% $25 Noodles & Company 8% $10 $25/$100/ Menards 3% $500 Olive Garden/ 9% $25 Michaels 4% $25 9% $10/$25 Papa Murhpy’s Pizza 8% $10

SPECIALTY ITEMS Product Rebate Value Qty Total Amazon.com 3% $25/$100 $10/$25 RESTAURANTS CONTINUED Barnes & Noble 9% 8% $10 $100 Pizza Ranch 8% $25 Great Clips 8% $25 9% $25 Groupon.com 7% $25 Restaurant.com 50% $20 iTunes 5% $15/$25 7% $10/$25 Jiffy Lube 8% $30 6% $10/$50 MasterCuts/ Mia & Maxx Hair Studio/ 8% $25 5% $10 Regis Salons/SmartStyle Texas Roadhouse 8% $25 Overstock.com 8% $25 TGI Friday’s 9% $25 Shutterfly 9% $25 Wendy’s 4% $10 SPECIAL ORDERS GAS STATIONS $50/$100 BP 1.5% $250 Cenex 3% $25/$100 $50/$100 Chevron 1.5% $250

Exxon 1% $50/$250

Holiday Station Stores 4% $25/$100 ****LOCALLY Purchased**** $25/$50 Kwik Trip 4% $100 $25/$50 Action City/Chaos $25/$100 Marathon 3% 20% $100 $250 $25/$50 Mobil 1% $50/$250 Gordy’s Market 5% $25/$50 $100 Shell 2.5% $100 McDonald’s 5% $10/$20 $50/$100 Texaco 1.5% Mega Holiday $25/$50 $250 10% Gas Stations $100

Micon Cinemas 5% $20 Rebate Value Qty Total

Product

Thank you for your order!!!!

Additional retailers and rebate special offers can be found at www.shopwithscrip.com. Northwoods Elementary Enrollment Code is: 8E2E231333292

Additional order forms are available in the Northwoods Elementary School lobby.

For questions, please contact PTO member,

Jessica Klesmit at 715-577-4684 (text or call) or [email protected]

Facebook page: Northwoods Elementary PTO