Chiaravalle Gift Card Order Form
EVERYDAY WAYS TO PAY IT FORWARD!
Did you know that your everyday purchases could earn money for Chiaravalle?
With over 700 retailers, ShopWithScrip.com provides easy ways for families to raise dollars for
Chiaravalle because these retailers donate a percentage of your gift card purchase back to the
school. We’ve put together a list of Chiaravalle’s top 30 retailers, but know there are many
more online at ShopWithScrip.com. There are two easy ways to participate:
• use the attached form
• go to shopwithscrip.com and create a family account online. We’re notified
immediately when you place your order!
Create a family account online
1. Go to https://www.shopwithscrip.com
2. In the upper right corner, click “Register”
3. Choose “Join a Scrip Program”
4. Enter the enrollment code: 2719274619917
5. Fill out the form with your information and then click “Register”
Standing monthly gift card orders
You can also place a standing order for the year. Place an order now, and receive the same
order every month until May.
We process orders monthly from October through May. Paper order forms are due the first
Thursday of every month. While you may place an order online anytime at your convenience,
cards will only be delivered on the third Thursday of each moth. In line with our drive to be
greener, this year, we will distribute paper orders forms in October, December, February, and
May. If you have any questions, suggestions, and/or feedback, please feel free to contact us –
Karen Meyer, Director of Development, [email protected], 847-448-4314 or Natasha
Jamal, Advancement Associate, [email protected], 847-733-3682 x408 or stop by the
Development Office!
Chiaravalle Gift Card Order Form
Name:__________________________________________Email/Phone # (if not current parent):___________________
___I will pick up my order at the school at the front desk.
___Please mail me my order as soon as it arrives.
Address if different from your Veracross record:
Street:_______________________________________City, State, Zip:__________________________________________
Payment Method:
___ Cash or check payable to CMS is enclosed.
___ Please charge the total to the account on file for tuition auto-debit payments. (Orders will be deducted on the
10th of the month.)
Amazon.com (4%)
$25
#
American Express (1.2%)
$25
#
Barnes & Noble (9%)
$25
#
Bath & Body Works (13%)
$10
#
Best Buy (3%)
$25
#
Century Theater (4%)
$25
$100
#
$100
#
$100
#
$25
#
$100
#
N/A
#
Chili’s (11%)
$25
$10
N/A
$25
$100
#
$100
#
N/A
$25
#
#
$25
#
Jewel-Osco (4%)
Total
Lowe’s (4%)
Total
Macy’s (10%)
$
$
Total
Total
Mariano’s (4%)
Neiman Marcus (12%)
Total
Panera (9%)
Total
Peet’s Coffee and Tea (8%)
Total
Starbucks (7%)
Total
Total
TJ Maxx/Marshalls/
HomeGoods (7%)
Walgreens (6%)
Total
Zappos (8%)
$
$
$
$25
Groupon (7%)
Total
$
#
Gap/Old Navy (14%)
J Crew (13%)
$
N/A
$10
$25
Dick’s Sporting Goods (8%)
Total
$
$
#
CVS (6%)
iTunes (5%)
$
#
Container Store (9%)
Total
$
$50
#
#
Cold Stone Creamery (8%)
Home Depot (4%)
$
#
Chipotle (10%)
Total
$100
#
N/A
$
$
$25
#
$15
#
$25
#
$25
#
$25
#
$25
#
$25
#
$50
#
$100
#
$25
#
N/A
$10
#
$20
#
$25
#
$25
#
$25
#
$20
#
$25
Total
$
Total
$
Total
$
$100
#
$100
#
$100
#
$100
#
N/A
Total
$
Total
$
Total
$
Total
$
Total
$
#
Total
$
N/A
Total
$
N/A
Total
$
$100
#
$100
#
N/A
Total
$
Total
$
Total
$