San Marino High School PTSA Scrip NAME: ____________________________________________ TEL: _______________ ADDRESS: _________________________________________ DATE:______________ Make checks payable to SMHS PTSA SCRIP. Credit cards are accepted for amounts over $2000. Credit Card Number: _________________________________ Expiration Date: _____________ *** See Reverse Side for contact details *** STORE DENOM TOTAL STORE DENOM TOTAL AMC Theatres $25 Jamba Juice $10 American Eagle $25 JCPenney $25 Baja Fresh $25 JoAnn Fabrics $20 Barnes & Noble $25 Johnny Rockets $5 Baskin Robbins $2 KFC $5 Bath & Body Works $10 L.L. Bean $25 $25 Macy’s $25 Bed Bath & Beyond $25 Marie Callendar’s $25 Best Buy $25 Marshalls $25 Blockbuster $10 Office Depot $25 B-Man’s $25 Olive Garden $25 Borders $10 Orvis $25 $25 Peet’s Coffee $20 Boston Market $10 Pier 1 Imports $25 Bristol Farms $20 Pizza Hut $10 Buca di Beppo $25 Pottery Barn $25 Burger King $10 Quiznos $5 California Pizza Kitchen $10 Ranch 99 $20 Carl’s Jnr $5 Ritz-Carlton Hotels $50 Chili’s/Corner Bakery $20 Ross $25 Claim Jumper $25 Sears $25 Coffee Bean $25 $100 CompUSA $25 See’s Candies $14.10 Crate & Barrel $25 Sharper Image $50 CVS Pharmacy $25 Smart & Final $25 Dave & Busters $25 $100 Denny’s $5 Souplantation $10 Din-Tai Fung House $10 Staples $25 Domino’s Pizza $5 Starbucks $10 Eddie Bauer $25 $25 El Torito $25 TGI Fridays $20 Gap/Old Navy/Banana $25 Tony’s Pizza $5 Rep Home Depot $25 Wendy’s $10 Honey Baked Ham $10 Whole Foods $50 Hong Kong Market $20 Williams Sonoma $25 Howies $20 Zono Sushi $10 How’s $10 $25 Islands Restaurant $25 iTunes $15 TOTAL: You can place your order in the following ways: 1. Drop it off at the Counseling/Main Office at the School. 2. Fax your order to: - Earlene Cheung (626) 585-8966 - Sally de Witt (626) 449-1144 3. Email your order to [email protected]. There is no need to use an order form for email orders. However, please list each item on a separate line. If we are unable to deliver your order, it will be available for pick up at the SMHS counseling office. We will call you with this information. .