CHRIST THE KING CATHOLIC SCHOOL
SCRIP ORDER FORM
Make Checks Payable To: Christ the King Scrip
STEP 1 — Provide Contact Information
Name
Phone Number(s)
Child’s Name/Grade
School Family Name to be Credited
Order Date
Email Address
Total Amount $____________
□ Check # ___________
□ Cash
STEP 2 — Choose your SCRIP from the chart below, calculate your total purchase, and complete the box above.
STEP 3 — Sign and submit your order with payment (cash or check made payable to “CK Scrip”).
I hereby give permission to release my SCRIP to the child listed above.
I understand that it will come in the following week’s Tuesday folder.
I will not hold Christ the King School liable for lost or stolen SCRIP.
OR
Signature_____________________________________________
BEST SELLERS
Amazon^
$25/$100
Chevron/Texaco#
$50/$100/$250
QFC/Fred Meyer
$25*/$100*
Safeway #
$25*/$100*
Shell #
$25/$50/$100
Starbucks #^
$10*/$25*
Target # ^
$25* / $50 /$100*
Sam’s Club ^
$25*/$100*/$250
Grocery & Drugs
Albertsons #
$25 / $100
QFC/Fred Meyer
$25 / $100
Safeway #
$25 / $100
Sam’s Club/Wal-Mart ^
$25 / $100 / $250
Walgreens
$25 / $100
Whole Foods Market#^
$25 / $100
Gas & Auto
% Qty
3%
1%
4%
4%
2%
7%
2.5%
2.5%
Total
$
$
$
$
$
$
$
$
% Qty
Total
4%
$
4%
$
4%
$
2.5%
$
6%
$
3%
$
% Qty
Total
Arco #
$50 / $100
$250
Chevron/Texaco #
$50 / $100 / $250
Jiffy Lube #^
$30
Shell #
$25 / $50 / $100
76 #
$25 / $100
1.5%
2.5%
1%
$
Variety/Dept.Stores
JC Penney #^
$25 / $100
Marshalls/T.J. Maxx ^
$25 / $100
Nordstrom
$25 / $100
Ross Dress for Less
$25
Sears ^
$25 / $100 / $250
Target # ^
$25 / $50 / $100
Apparel/Accessories
Banana Republic #^
$25 / $100
Claire’s
$10
Crazy 8 #
$25
Dennis Uniforms
$20
Famous Footwear
$25
Gap #^
$25 / $100
Gymboree #
$25
J. Crew
$25
Lands’ End ^
$25 / $100
L.L. Bean ^
$25 / $100
Macy’s ^
$25 / $100
Old Navy #^
$25 / $100
Entertainment
$
8%
$
2%
$
1.5%
$
AMC/Cineplex
Odeon/Loews Theatres
$25 #^
$10.50 single admit
Regal Ent. Group
$25 ^
$10 single admit ^
□ Please hold in the school office for me to pick up.
% Qty
Total
5%
$
7%
$
6%
$
8%
$
4%
$
2.5%
$
% Qty
Total
14%
$
9%
$
13%
$
5%
$
8%
$
14%
$
13%
$
13%
$
16%
$
16%
$
10%
$
14%
$
% Qty
8%
10%
8%
10%
Total
Restaurants
Applebee’s ^
$25/ $50
California Pizza Kitchen
$25 ^
Chipotle ^
$10
Chuck E. Cheese
$10
Denny’s
$10
Domino’s Pizza #^
$10
Great Harvest
$10
IHOP ^
$25
Jack in the Box
$10
Olive Garden #^
$25
P.F. Chang ^
$25
Panera Bread ^
$10 / $25
Pizza Hut ^
$10
Qdoba Mexican Grill
$25
Red Robin ^
$25
Subway #
$10/$50
% Qty
Total
8%
$
8%
$
10%
$
8%
$
7%
$
8%
$
6%
$
8%
$
4%
$
9%
$
8%
$
9%
$
8%
$
7%
$
9%
$
6%
$
Symbol Key:
* Typically in stock
# Available for Reload
^ Available for SCRIPNow purchase
$
$
Some Scrip may be in stock and available for immediate purchase; please email SCRIP Coordinators at [email protected].
Coffee & Drinks
Krispy Kreme
$10
Starbucks #^
$5/ $10 / $25
Electronics &
Office Supplies
Best Buy ^
$25 / $100 / $250
Game Stop ^
$25
Office Max
$25 / $100
Staples ^
$25 / $100
% Qty
Total
8%
$
7%
$
% Qty
Total
3%
$
3%
$
5%
$
5%
$
Sporting Goods
% Qty
Total
REI Sporting Goods
$25
8%
$
Hardware & Home
Improvement
%
Home Depot ^
$25 / $100 / $500 /
$1000
Lowe’s #^
$20 / $25 / $100 /
$500 / $1,000
Qty
Total
4%
$
4%
$
Specialty Retailers
Amazon.com ^
$25 / $100
American Girl
$25 / $100
Babies-R-Us ^
$20
Barnes & Noble ^
$10 / $25 / $100
Bath & Body Works #^
$10 / $25
Bed, Bath & Beyond ^
$25 / $100
Build-A-Bear Workshop
$25 ^
Cabelas
$25/$100
Crate and Barrel ^
$25 / $100
Disney Store
$15, $25, $100, $1000
Famous Footwear
$25
iTunes ^
$15 / $25
Jo-Ann Fabrics
$25
Kohl’s
$25/$100
PetSmart
$25
Pottery Barn ^
$25 / $100
See’s Candies
$19.30 (1 lb.)
$25
% Qty
Total
3%
$
9%
$
3%
$
9%
$
13%
$
7%
$
8%
$
11%
$
8%
$
2%
$
8%
$
5%
$
6%
$
4%
$
4%
$
8%
$
20%
9%
$
Shutterfly ^
$25
Toys-R-Us ^ #
$20 / $100
Ulta Beauty
$25
Travel
Avis Car Rental
$50
Best Western Intern’al
$25 / $100
Budget Car Rental
$50
Carnival Cruise Lines
$100
Comfort Inn & Suites #
Clarion Inn #
Quality Inn #
$50 / $100
Disney Theme Parks
$15, $25, $100, $1000
Fairmont Hotels
$100
Hyatt Hotels #^
$50 / $100
Princess Cruises ^
$100
Royal Caribbean ^
$100
Delta Airline
S250/$1000
$
9%
3%
$
4%
$
% Qty
Total
8%
$
12%
$
8%
$
8%
$
3%
$
2%
$
9%
$
10%
$
6%
$
9%
$
4%
$
Symbol Key:
* Typically in stock
# Available for Reload
^ Available for SCRIPNow purchase
Additional Retailers Listed at www.glscrip.com
Write in any other Scrip Cards you would like added to your order on the lines below.
Retailer Name
Amount of Card
%
Qty.
Total
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Make Checks Payable To:
Christ the King Scrip or CK Scrip
Orders are due each Wednesday no later than 9:00 a.m. for delivery the following week.
UPDATE 02/2017