Scrip Certificate Order Form (November 15, 2005)
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X Y Z
|
Merchant name |
% |
Denominations |
Merchant Name |
% |
Denominations |
| 1-800- Flowers |
8% |
$15 |
Lady's Footlocker |
8% |
$10 $25 |
| Ace Hardware |
4% |
$25 |
Lerner |
10% |
$20 |
| Amazon.com |
4% |
$25 |
Lillian Vernon |
17% |
$15 |
| Advanced Auto |
|
$25 |
Limited |
9% |
$25 |
| American Airlines |
12% |
$50 |
Linens N Things |
10% |
$25 |
| American Eagle Outfitters |
8% |
$25 |
Tony' Roma's |
9% |
$20 |
| Applebee's |
8% |
$20 |
Tower Records |
7% |
$10 |
| AT&T PrePaid Card |
20% |
$9.50 |
Towne Place Suites |
12% |
$25 |
| Babies 'R' Us |
3% |
$20 |
Toys "R" Us |
3% |
$10 $20 |
| Baby Gap |
9% |
$20 $25 $50 |
Long John Silvers |
5% |
$5 |
| Bahama Breeze |
14% |
$10 $25 |
Lowe's Home Center |
3% |
$25 $100 |
| Banana Republic |
9% |
$25 |
Macy's ** |
9% |
$25 $100 |
| Barnes & Nobles/B Dalton |
9% |
$10 $25 |
Marriott International * |
12% |
$25 |
| Baskin Robbins |
9% |
$2 |
Marshalls |
9% |
$10 $25 |
| Bass Pro Shops |
6% |
$25 |
Max & Erma's |
|
$10 |
| Bath and Body Works |
13% |
$10 $25 |
Men's Warehouse |
8% |
$25 |
| Bed, Bath, and Beyond |
6% |
$25 |
Mobile/Exxon |
1.5% |
$50 |
| Belk |
7% |
$25 |
Motherhood |
|
$25 |
| Bennigan's |
13% |
$25 |
Mrs. Fields (cookie) |
25% |
$5 |
| Best Buy |
2% |
$25 $100 |
Old Navy |
9% |
$25 |
| Black Angus |
15% |
$20 |
Olive Garden |
14% |
$25 |
| Blockbuster Video |
7% |
$10 $25 |
Original Cookie Co. |
25% |
$5 |
| Bonefish Grill |
4% |
$25 |
Outback Stakehouse |
4% |
$25 |
| Borders/Waldenbooks |
8% |
$10 $25 |
Paragon (Whaling Co.) |
19% |
$10 |
| Boston Market |
12% |
$10 |
Payless Shoesource |
13% |
$20 |
| Burger King |
4% |
$5 |
Pep Boys |
4% |
$20 |
| Carnival Cruise Lines |
10% |
$25 $100 |
Pier One Imports |
9% |
$25 |
| Casual Corner ** |
19% |
$25 |
Pizza Hut |
9% |
$10 |
| Children's Place (The) |
12% |
$25 |
Radio Shack |
4% |
$25 |
| Chili's |
11% |
$20 |
Rainforest Café |
13% |
$10 |
| Chuck E.Cheese |
7% |
$10 |
Red Lobster |
14% |
$10 $25 |
| Circuit City |
4% |
$50 $100 |
Rite Aid |
5% |
$25 |
| Claires |
7% |
$10 |
Ross Dress for Less |
8% |
$25 |
| CompUSA |
|
$25 |
Ruby Tuesday |
9% |
$25 |
| Courtyard (Marriott) |
12% |
$25 |
Sally's Beauty |
5% |
$25 |
| Crate & Barrel |
|
$25 |
Sam Goody |
9% |
$20 |
| Cracker Barrel |
9% |
$10 |
Sara Lee Outlet Stores |
13% |
$10 |
| CVS Pharmacy |
2% |
$25 |
Sears ** |
4% |
$25 $100 $250 |
| Denny's |
9% |
$25 |
Sharper Images |
12% |
$50 |
| Dick's Sporting |
9% |
$5 |
Shell Debit Card |
2% |
$25 $100 |
| Dillard's |
9% |
$5 |
Shoe Carnival |
5% |
$25 |
| Domino's Pizza |
5% |
$5 |
Smoky Bones BBQ |
14% |
$25 |
| Don Pablo's |
8% |
$25 |
Speedway |
4% |
$25 $100 |
| Dress Barn |
8% |
$20 |
Sports Authority |
6% |
$25 |
| Eckerd Drug (JC Penny) |
5% |
$10 $25 $100 |
Staples |
5% |
$25 $100 |
| Exxon/Mobile |
3% |
$50 |
Starbucks |
8% |
$10 $25 |
| Fairfield Inn (Marriott) |
12% |
$25 |
Steak &Ale |
18% |
$10 $25 |
| Family Christian Bookstore |
9% |
$10 |
Stein Mart (not NW) |
8% |
$20 |
| Farm Fresh |
5% |
$5 $10 $20 $50 $100 |
Stop & Shop |
4% |
$25 $100 |
| Food Lion |
5% |
$10 $25 $50 $100 |
Sunglass Hut |
9% |
$25 |
| Footlocker (all) |
9% |
$10 $25 |
Super Kmart |
2% |
$25 $50 |
| Friendly's |
8% |
$5 |
TCBY |
25% |
$5 |
| Fuddruckers |
8% |
$10 |
TGI Fridays |
13% |
$20 |
| Gap/Gapkids/Babygap |
9% |
$25 |
Texas Roadhouse |
8% |
$25 |
| Giant Foods |
4% |
$10 $25 |
Timberland |
15% |
$25 |
| GNC |
6% |
$25 |
T J Maxx |
9% |
$10 $25 |
| Hard Rock Café |
7% |
$25 |
Uno Chicago Bar & Grill |
15% |
$25 |
| Home Depot ** |
3% |
$25 $100 |
Value City |
9% |
$10 |
| Hyatt Hotels |
9% |
$25 |
Verizon |
|
$10 |
| JC Penny |
5% |
$25 $100 |
Waldenbooks/Borders |
8% |
$10 $25 |
| Jo-Ann Fabrics |
6% |
$20 |
WaWa's |
1.5% |
$25 |
| Joes Crab Shack |
9% |
$25 |
Wendy's |
9% |
$10 |
| Johnny Rocket's |
8% |
$5 |
Whaling Co. |
19% |
$10 $25 |
| Kmart |
2% |
$25 $50 |
Warehouse Music |
8% |
$10 |
| KB Toys/Toy Works |
9% |
$10 |
Williams-Sonoma |
13% |
$25 $100 |
| K F C |
9% |
$5 |
Winn Dixie |
5% |
$25 $50 |
| Kids Footlocker |
8% |
$10 |
Zany Brainy |
|
$10 |
| Kids 'R' Us |
3% |
$10 $20 $25 $50 |
|
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|
| Kroger |
4% |
$20 |
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Most Scrip is kept in stock. If we are out of what
you order, we can get it in a few days.
*Not for catering and group rooms. **No payment on
account. ***Catalog and Website.
You may use Scrip to pay store charge account, in person only, at JC Penny.
Please make checks payable to: Hampton Christian Schools.
Parent's Name:
Phone:
Date:
Student's Name:
Teacher:
Total:
Parent Pickup:
Child Take Home:
Signature:
Please be sure to indicate pickup/delivery method and sign.