2020 Scrip Order Form

2020 Scrip Order Form

E.P.I.C. Youth Ministry Page 1 Gift Card Fundraiser E.P.I.C. Youth Ministry Thank you for your support! Orders due to either Parish Office by Tues., Dec. 8th. Pick up orders after all masses Dec. 12-13. Please make checks payable to Immaculate Conception Church Name Phone Product %QTY Total Product %QTYTotal Ace Hardware $25.00 4% Cabela's $25.00 10% adidas $25.00 13% Carrabba's Italian Grill $10.00 10% Advance Auto Parts $25.00 7% Carrabba's Italian Grill $25.00 10% Aeropostale $25.00 10% Carter's $25.00 10% Albertsons $10.00 4% Cheddars $10.00 8% Albertsons $25.00 4% Cheddars $25.00 8% Amazon.com $10.00 2.25% Cheesecake Factory $25.00 5% Amazon.com $25.00 2.25% Children's Place $25.00 12% AMC Theatres $25.00 8% Chili's Grill & Bar $25.00 11% American Eagle® $25.00 10% Chipotle Mexican Grill $10.00 10% American Girl $25.00 9% Chipotle Mexican Grill $25.00 10% Apple Store/Apple.com $15.00 5% Chuck E. Cheese's $10.00 8% Apple Store/Apple.com $25.00 5% Cinemark Theatres $25.00 4% Applebee's $10.00 8% Cinnabon $25.00 6% Applebee's $25.00 8% Circle K $25.00 1.5% Arby's $10.00 8% Claire's $10.00 9% Athleta $25.00 14% Cold Stone Creamery $10.00 11% AutoZone $25.00 8% Cold Stone Creamery $5.00 11% Banana Republic $25.00 14% Cousins Subs $10.00 9% Barnes & Noble $10.00 8% Cracker Barrel $10.00 8% Barnes & Noble $25.00 8% Cracker Barrel $25.00 8% Bass Pro Shops $25.00 10% Crate and Barrel $25.00 8% Bath & Body Works $10.00 12% CVS Pharmacy $10.00 6% Bath & Body Works $25.00 12% CVS Pharmacy $25.00 6% Bed Bath & Beyond $25.00 7% Dairy Queen $10.00 3% Berkot's Super Foods $25.00 4% Darden Restaurants $10.00 8% Best Buy $25.00 4% Darden Restaurants $25.00 8% Binny's Beverage Depot $25.00 3% Dave & Buster's $25.00 13% Blimpie $5.00 11% Denny's $10.00 7% Bloomingdale's $25.00 12% Dick's Sporting Goods $25.00 8% Bob Evans Restaurants® $10.00 10% Disney $25.00 3% Bonefish Grill $25.00 10% Domino's $10.00 8% Boston Market $10.00 12% Domino's $25.00 8% BP $50.00 1.5% DSW $25.00 8% Bruegger's Bagels $10.00 7% Dunkin' Donuts $10.00 3% Buca di Beppo $25.00 8% Dunkin' Donuts $25.00 3% Buckle $25.00 8% Einstein Bros. Bagels $10.00 10% Buffalo Wild Wings® $10.00 8% Express $25.00 10% Buffalo Wild Wings® $25.00 8% Famous Footwear $25.00 8% Build-A-Bear Workshop $25.00 8% Fandango $25.00 4% Burger King $10.00 4% Fannie May Candies $10.00 25% Burlington $25.00 8% Fazoli's $25.00 9% GameStop $25.00 3% Men's Wearhouse $25.00 8% Gap $25.00 14% Menards $25.00 3% Gift Card Wrapper - 10 Pack $2.00 10% Michaels $25.00 4% Page Total $_______ ** Participating retailers products subject to change without notice. E.P.I.C. Youth Ministry Page 2 Gift Card Fundraiser Product %QTY Total Product %QTYTotal Golf Galaxy $25.00 8% Nike $25.00 12% Gordon Food Service Store $25.00 4% Noodles & Company $10.00 8% Great Clips $25.00 8% Oberweis $10.00 8% Great Harvest Bread $10.00 6% Office Depot / Office Max $25.00 5% Groupon.com $25.00 7% Old Navy $25.00 14% Guitar Center $25.00 4% Olive Garden $10.00 8% Gymboree $25.00 12% Olive Garden $25.00 8% Hallmark $25.00 4% On The Border $25.00 11% Happy Dining Card $25.00 8% OshKosh $25.00 10% Happy Moments Card $25.00 8% Outback Steakhouse $10.00 10% Home Depot® $10.00 4% Outback Steakhouse $25.00 10% Home Depot® $25.00 4% Overstock.com $25.00 8% HomeGoods $25.00 7% Panda Express $25.00 8% HoneyBaked Ham $25.00 12% Panera Bread $10.00 8% IHOP $10.00 8% Panera Bread $25.00 8% IHOP $25.00 8% Panera Bread $5.00 8% Islamorada Fish Company $25.00 10% Papa John's Pizza $10.00 8% iTunes & App Store $15.00 5% Papa Murphy's Pizza $10.00 8% iTunes & App Store $25.00 5% PetSmart $25.00 5% J. Crew $25.00 13% Pizza Hut $10.00 8% Jamba Juice $25.00 6% Potbelly Sandwich Shop $10.00 8% JCPenney $25.00 5% Pottery Barn $25.00 8% Jewel Osco $10.00 4% Qdoba Mexican Grill $25.00 7% Jewel Osco $25.00 4% Red Lobster $10.00 8% Jo-Ann Fabric and Craft Stores $25.00 6% Red Lobster $25.00 8% Jos. A. Bank $25.00 10% Red Robin $25.00 8% Journeys $25.00 10% Regal $25.00 8% Kohl's $25.00 4% REI $25.00 8% Krispy Kreme® Doughnut $10.00 8% Sally Beauty $25.00 12% L.L.Bean $25.00 16% Sam's Club $10.00 2.5% Lands' End $25.00 15% Sam's Club $25.00 2.5% Lettuce Entertain You Restaurants $25.00 12% Scheels $25.00 8% Little Caesars Pizza $20.00 8% Sears $25.00 4% Loews Cineplex $25.00 8% Shell $25.00 1.5% Long John Silver's $10.00 8% Shell $50.00 1.5% LongHorn Steakhouse $10.00 8% Shoe Carnival $25.00 5% Lou Malnati's Pizzeria $10.00 8% Shutterfly $25.00 9% Lowe's $20.00 4% Sonic $10.00 8% Lowe's $25.00 4% Sonic $25.00 8% Macy's $25.00 10% Speedway $25.00 4% Maggiano's Little Italy $25.00 11% Staples $25.00 5% Marathon $25.00 3% Starbucks $10.00 7% Marcus Theatres $25.00 8% Starbucks $25.00 7% Mariano's (IL Only) $25.00 4% Starbucks $5.00 7% Mario Tricoci $25.00 7% Steak 'n Shake $10.00 8% Marshalls $25.00 7% Subway Restaurants $10.00 6% Maurices $20.00 7% T.J. Maxx $25.00 7% Meijer $25.00 3% Taco Bell $10.00 5% Page Total $_______ ** Participating retailers products subject to change without notice. E.P.I.C. Youth Ministry Page 3 Gift Card Fundraiser Product %QTY Total Taco Bell $5.00 5% Visit ShopWithScrip.com Tanger Outlets $25.00 8% to see all 750+ brands Target $10.00 2.5% and available denominations. Target $25.00 2.5% Then, add to your order below. Target $50.00 2.5% Texas Roadhouse $25.00 8% Product & Denomination %QTY Total TGI Fridays $25.00 9% The Home Depot® $10.00 4% The Home Depot® $25.00 4% ULTA $25.00 4% Under Armour $25.00 11% Uno Pizzeria & Grill $25.00 12% Visa Gift Card - No Activation Fee $50.00 1.25% Walmart $10.00 2.5% Walmart $25.00 2.5% Wendy's $10.00 6.5% Williams Sonoma $25.00 8% Zappos.com $25.00 8% Local Retailers Golden Mine $5.00 10.00% $ Polk-A-Dot Drive In $10.00 10.00% $ TOTAL ORDER $ Page Total $_______ ** Participating retailers products subject to change without notice. .

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