Family Order Form
Created: 12/05/2014
St Bonaventure High School/ Ventura, CA
Thank you for supporting SBHS Scrip Program!
For more gift cards available go to WWW.SHOPWITHSCRIP.COM.
NEED ORDER ASAP-PLEASE TEXT KATHY AT 805-551-4238
Customer Name
Customer CELL #
Student Name & Grade
Check Box if okay to send order home with student
o Order Date
TOTAL ALL PAGES $
Clothing & Accessories
Product
%
American Eagle Outfitters $25.00 10%
Gap $25.00
Limited $25.00
Old Navy $25.00
T.J. Maxx/Marshalls/HomeGoods $25.00
14%
9%
14%
7%
QTY Total
$
$
$
$
$
Department Store
Product
%
jcpenney $25.00
Kohl's $25.00
Macy's $25.00
Sears $25.00
5%
4%
10%
4%
QTY Total
$
$
$
$
Dining - Casual
Product
%
Applebee's $25.00
Black Angus $25.00
Buffalo Wild Wings $10.00
Buffalo Wild Wings $25.00
8%
12%
8%
8%
California Pizza Kitchen $10.00 8%
Cheesecake Factory $25.00 5%
Chili's / Macaroni Grill $25.00 11%
Claim Jumper $25.00
9%
Darden® Restaurants $25.00 9%
IHOP $25.00
8%
Mimis Cafe $25.00
8%
Outback Steakhouse $25.00 8%
Olive Garden ® $25.00
9%
Red Lobster ® $25.00
9%
Restaurant.com $20.00
50%
TGI Fridays $25.00
9%
Yolanda's $20.00
20%
QTY Total
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Dining - On The Go
QTY Total
$
$
$
$
$
Product
Arby's $10.00
Burger King $10.00
Carl's Jr. $10.00
Coffee Bean & Tea Leaf $25.00
%
8%
4%
5%
9%
Cold Stone Creamery $10.00
8%
Del Taco $10.00
4%
$
Domino's Pizza $10.00
El Pollo Loco $10.00
Jack in the Box $10.00
Jamba Juice $10.00
8%
6%
4%
7%
KFC $5.00
8%
$
$
$
$
$
Little Caesar's Pizza $20.00
8%
$
Panera Bread $10.00
9%
Panera Bread $25.00
9%
Panera Bread $5.00 (limited)
9%
Papa John's Pizza $10.00
8%
Peet's Coffee & Tea $20.00
8%
Pizza Hut $10.00
8%
Snapper Jack's $10.00
20%
Starbucks $10.00
7%
Starbucks $25.00
7%
SUBWAY® Restaurants $10.00 3%
Taco Bell $10.00
5%
Wendy's $10.00
4%
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL DUE ALL COLUMNS $
Side 1
$
AFTER CHOOSING YOUR GIFT CARDS, PLEASE SEND PAYMENT AND ORDER FORM TO THE SCRIP OFFICE OR
ADMINISTRATION OFFICE. FOR YOUR CONVENIENCE, YOU MAY CALL IN A CREDIT CARD PAYMENT TO THE
ADMINISTRATION OFFICE. WE WILL PREPARE YOUR ORDER AND CALL YOU WHEN YOUR ORDER IS READY. THANK YOU!
SIGN UP WITH SHOPWITHSCRIP.COM - SCHOOL ID# 7B4FL2DD1123L
Make Checks Payable To: St. Bonaventure High School PTG
Side 1
Family Order Form
Created: 12/05/2014
St Bonaventure High School/ Ventura, CA
Thank you for supporting SBHS Scrip Program!
For more gift cards available go to WWW.SHOPWITHSCRIP.COM.
NEED ORDER ASAP-PLEASE TEXT KATHY AT 805-551-4238
Discount Store
Product
Home Decor
%
Target $10.00
2.5%
Target $100.00
Target $25.00
Walmart $10.00
Walmart $100.00
Walmart $25.00
2.5%
2.5%
2.5%
2.5%
2.5%
QTY Total
$
$
$
$
$
$
Electronics & Office
Product
Best Buy® $25.00
Office Depot $25.00
Staples $25.00
%
3%
4%
5%
QTY Total
$
$
$
Entertainment
QTY Total
$
Product
%
Bed Bath & Beyond $25.00
7%
Pier 1 Imports $25.00
Pottery Barn $25.00
Williams-Sonoma $25.00
9%
8%
8%
QTY Total
$
$
$
$
Home Improvement
%
4%
4%
4%
4%
QTY Total
$
$
$
$
Product
Amazon.com $10.00
%
3%
Amazon.com $100.00
3%
QTY Total
$
$
Product
Lowe's $100.00
Lowe's $25.00
The Home Depot $100.00
The Home Depot $25.00
Online & Catalog
Product
%
Barnes & Noble $10.00
9%
Barnes & Noble $25.00
9%
$
Amazon.com $25.00
3%
$
4%
Cinemark Theatres Single Admit $9.50 10%
Regal Entertainment Group $25.00 8%
Regal Entertainment Group Premiere Ticket $9.50 10%
$
$
$
$
Groupon.com $25.00
iTunes® $15.00
7%
5%
$
$
Cinemark Theatres $25.00
Gas & Auto
Product
%
QTY Total
$
Specialty Retailer
%
13%
13%
CVS/pharmacy $25.00
6%
6%
$
4%
4%
4%
20%
9%
3%
4%
$
$
$
$
$
$
$
76 Gas $25.00
1.5%
ARCO $50.00
1.5%
$
Jo-Ann Fabric and Craft Stores $25.00
AutoZone $25.00
Chevron $50.00
Jiffy Lube $30.00
Shell $25.00
Shell $50.00
8%
1.5%
8%
2.5%
2.5%
$
$
$
$
$
Michaels $25.00
PetSmart $25.00
Rite Aid $25.00
See's Candies $18.00
See's Candies $25.00
Toys"R"Us $20.00
ULTA $25.00
Grocery
QTY Total
$
QTY Total
$
$
$
Product
Bath & Body Works $10.00
Bath & Body Works $25.00
Product
%
Albertsons $100.00
4%
Albertsons $25.00
4%
$
Product
%
Safeway/Vons $100.00
Safeway/Vons $25.00
Smart & Final $100.00
Smart & Final $25.00
Smart & Final $50.00
Whole Foods Market $25.00
4%
4%
3%
3%
3%
3%
$
$
$
$
$
$
Dick's Sporting Goods $25.00
Sports Authority $25.00
8%
8%
Sporting Goods
TOTAL DUE ALL COLUMNS $
QTY Total
$
$
Side 2
SIGN UP WITH SHOPWITHSCRIP.COM - SCHOOL ID# 7B4FL2DD1123L
Make Checks Payable To: St. Bonaventure High School PTG
Side 2