ST. JOSEPH'S FUND RAISING GROUP SHOP-EASY Certificate Order Form DELIVERY METHOD: FAMILY NAME: DATE: My order can go home with my child PARENT NAME: EMAIL: STUDENT NAME: GRADE: PHONE: I would prefer to pickup my order Dollarama has been added 3% Merchant Type Merchant (fee) QTY Value Total Merchant Type Merchant (fee) QTY Value Total Merchant Type Merchant (fee) QTY Value Total Merchant Type Merchant (fee) QTY Value Total Gas $25.00 $25.00 $25.00 $25.00 (DB) Boathouse Restaurant (5%) (DB) White Spot (5%) Reloadable (DB) Petro-Canada (2%) $50.00 $50.00 $50.00 (DB) Staples/Business $50.00 $100.00 $25.00 (C) Triple O's (5%) $25.00 Depot (3%) Reloadable $100.00 (DB) Boston Pizza (5%) (C) Chevron (2%) $25.00 $50.00 (DB) Vancouver Dine (10%) $50.00 $250.00 Restaurants $25.00 $25.00 (The Teahouse, Seasons in the Park, (DB) The Children's Place (5%) $25.00 (DB) Browns Social House (5%) Cardero's & Sandbar) (DB) Esso (2%) Reloadable $50.00 $50.00 Specialty Stores (DB) Winners / Marshalls $25.00 $100.00 $25.00 /Home Sense (5%) $50.00 (DB) Cactus Club (10%) $25.00 $50.00 $25.00 (DB) Shell (2%) $50.00 (DB) Cara's Multibrand (3%) $25.00 $25.00 $50.00 (DB) Home Depot (2%) $100.00 (Milestone's, Kelsey's, Swiss Chalet, Montana's, $50.00 (DB) Amazon.ca (2%) $50.00 $100.00 Harvey's) (DB) Olive Garden (5%) $25.00 $100.00 $250.00 Travel (DB) Fairmont Hotels (5%) ` $100.00 (DB) Red Lobster (5%) $25.00 (DB) American Eagle (5%) $25.00 $25.00 (DB) Shine Autowash (50%) $50.00 $25.00 (DB) Bath & Body Works (5%) $25.00 (DB) Home Hardware (3%) $50.00 (DB) Earl's (5%) (C) SteamTech Auto Spa $35.00 $50.00 $25.00 $100.00 Membership (20%) $10.00 (DB) Best Buy (2%) $50.00 $25.00 Vehicle (DB) Fresh Slice (7%) www.steamtechautospa.ca $25.00 $100.00 (DB) Lowes (2%) $50.00 $25.00 $25.00 Home Improvement $100.00 (DB) Joey's Restaurants (5%) $50.00 (DB) Canadian Tire (3%) $50.00 $25.00 $25.00 $25.00 $100.00 (DB) Rona (5%) $50.00 (DB) Buy Low Foods (10%) $50.00 (DB) Keg (5%) $50.00 (DB) Chapters, Indigo & $25.00 $100.00 $25.00 $100.00 Coles (5%) Reloadable $50.00 $25.00 (DB) Choices Market (7%) $100.00 Restaurants $10.00 (DB) Claires (7.5%) $25.00 (DB) The Bay (3.0%) $50.00 $250.00 (DB) McDonalds (3%) $25.00 $10.00 $100.00 (DB) Famous Foods (10%) $50.00 $50.00 Dollarama (3%) $25.00 $25.00 (DB) London Drugs (2%) (DB) M & M Meat Shops (3%) $25.00 (DB) Moxie's (10%) $25.00 $50.00 $50.00 (DB) MarketPlace IGA (5%) $50.00 (DB) Old Spaghetti Factory (5%) $25.00 $10.00 $25.00 (DB) I Tunes (3%) Reloadable Double Dip w/ community Card (DB) Red Robin (5%) $25.00 $25.00 $50.00 Department Stores (DB) Walmart (2%) $25.00 $25.00 Specialty Stores (DB) La Senza (5%) $25.00 $100.00 (DB) Sammy J. Peppers (5%) (DB) Safeway, Thrifty Foods (5%) $50.00 $50.00 $25.00 $250.00 (DB) Mark's Work $100.00 $10.00 $50.00 Warehouse (5%) $50.00 (DB) Subway (5%) $25.00 $100.00 (C) Cineplex Odeon (7%) $10.00 Grocery (DB) Stong's (5%) $100.00 $50.00 (DB) Options (Banana Republic, Gap, $25.00 Movies Admit One (any age) Galaxy, Silver City,Colossus $500.00 $10.00 Old Navy (5%) $50.00 $25.00 $25.00 (DB) Pet Smart (3%) $25.00 (DB) Spa Utopia 5%) $50.00 (DB) Starbucks (5.%) (DB) Superstore, Extra Foods, No $50.00 $50.00 $25.00 www.spautopia.ca $100.00 (DB) Shopper's Drug Mart Frills, Canadian Wholesale (3%) $100.00 $100.00 $50.00 (DB) WaySpa (8%) $50.00 (3%) Spas $250.00 $10.00 $100.00 www.wayspa.com $100.00 $25.00 (DB) Tim Hortons (3%) $25.00 $25.00 SUBTOTAL THIS COLUMN $ (DB) Sport Chek, (DB) T&T Market (2%) or (4%) $50.00 $50.00 Atmosphere (3%) $50.00 $100.00 $100.00 TOTAL ORDER $ $25.00 SUBTOTAL THIS COLUMN PAYMENT INFORMATION (DB) Save on Foods/Price Smart $50.00 Foods/Urban Fare (6%) Change Policy For Shopping Cards and Certificates $100.00 DB - Declining Balance Shopping Card SUBTOTAL THIS COLUMN CHEQUE (payable to St. CK # (DB) Victoria 88 (10%) $50.00 C - Change Back Shopping Certificate PLEASE NOTE: Grocery, gas and a small variety of gift cards are available in the Joseph's School) NC - No Change Back Shopping Certificate office. Specialty store cards must be ordered, but if ordered Monday or Tuesday, CASH SUBTOTAL THIS COLUMN Cannot Pay Off Account With Cards or Certificates normally arrive by Friday afternoon. Contact Mrs. Oye. .