FOR OFFICE USE ONLY more retailers and 24-hour ordering foster family network enrollment code 2ADL4D8225951 Check #:______SCRIP GIFT CARD ORDER FORM
PARENT/GUARDIAN NAME: DATE: PHONE: ( )
STUDENT NAME: TEACHER: E-MAIL: REBATE EARNED GIFT CARD VENDOR BY FOSTER VALUE QTY TOTAL GROCERY AND GAS percent dollars Copps / Pick 'n Save 4% $ 2.00 $ 50 4% $ 4.00 $ 100 Express Convenience Centers 9% $ 2.25 $ 25 Piggly Wiggly 3% $ 1.50 $ 50 Kwik Trip 10% $ 2.50 $ 25 10% $ 10.00 $ 100 RESTAURANTS AND ENTERTAINMENT Applebee's 10% $ 2.50 $ 25 Buffalo Wild Wings 8% $ 0.80 $ 10 Chili's (receive coupon for free kids meal w/ gift card purchase thru Oct 4) 11% $ 5.50 $ 50 Chipotle Mexican Grill 10% $ 1.00 $ 10 Cold Stone Creamery NEW 8% $ 0.80 $ 10 Family Video 12% $ 1.20 $ 10 Fazoli's NEW 7% $ 1.75 $ 25 Marcus Theatres 9% $ 2.25 $ 25 Noodles & Company 8% $ 0.80 $ 10 Olive Garden / Red Lobster 9% $ 2.25 $ 25 Panera Bread 9% $ 0.90 $ 10 Qdoba 7% $ 1.75 $ 25 Red Robin 9% $ 2.25 $ 25 Starbucks 7% $ 1.75 $ 25 Subway 3% $ 0.30 $ 10 RETAIL AND HEALTH/BEAUTY Amazon.com 3% $ 0.75 $ 25 AutoZone NEW 8% $ 2.00 $ 25 Bath & Body Works 13% $ 1.30 $ 10 Burlington Coat Factory/Baby Depot NEW 8% $ 2.00 $ 25 Claire's 9% $ 0.90 $ 10 CVS/pharmacy 6% $ 1.50 $ 25 Dick's Sporting Goods 8% $ 2.00 $ 25 DSW-Designer Shoe Warehouse 9% $ 2.25 $ 25 Kohl's (can be used for Kohl's card payments) 4% $ 1.00 $ 25 Lands' End 16% $ 4.00 $ 25 Macy's 9% $ 2.25 $ 25 Old Navy / Gap / Banana Republic / Athleta 14% $ 3.50 $ 25 T.J. Maxx / HomeGoods / Marshalls 7% $ 1.75 $ 25 Walgreen's 6% $ 1.50 $ 25 Walmart / Sam's Club 2.5% $ 2.50 $ 100 HOME IMPROVEMENT AND HOME DÉCOR Home Depot 4% $ 1.00 $ 25 Lowe's 6% $ 1.50 $ 25 Menards 3% $ 0.75 $ 25 Pottery Barn / West Elm / Williams-Sonoma 8% $ 2.00 $ 25 ELECTRONICS AND BOOKS/MUSIC Barnes & Noble Booksellers 9% $ 0.90 $ 10 Best Buy 3% $ 0.75 $ 25 iTunes 10% $ 1.50 $ 15 Shutterfly NEW 11% $ 2.75 $ 25 ORDER TOTALS (PAYMENT MUST ACCOMPANY ORDER FORM) $ SCRIP PICK-UP INFORMATION RELEASE AUTHORIZATION (OPTIONAL)
Please make checks payable to Foster Family Network (FFN). Orders can be picked up in By signing below, I authorize Foster Elementary to send my scrip order home with the Foster school office on days when school is in session. You can also my child (student's name should be printed in appropriate space at top of form). I choose to have your scrip cards sent home with your child by signing the release realize the school is not responsible for loss of scrip once it is delivered to the student: authorization to the right.
Any questions? Call: 205-5001 E-mail: [email protected] Signature: Date:
Next scrip order to be placed on Thursday, November 14!