scrip-order-form-2008-20093

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					                            S.E. S. SCRIP ORDER FORM
                           Date_______________
Name ________________________        Phone #_____________

Method of Delivery: I will pick up / student will pick up / mail (circle)

Payment Method: Cash _______ / Check # __________ Amount ___________

Apply to :                  __________ Tuition Account in the name of __________________
                            __________ General Operating Budget


Company                     %       $$$     # Amount   Company                     %        $$$      # Amount

Big B's Supermarket         5%        $10                Home Improvement
Individual Purchases only             $25
                                      $50              Ace Hardware                     4    $25
                                     $100                                                   $100
                                                       Home Depot                       3    $25
                                                                                            $100
B&B Ace Hardware            5%        $50                                                   $500
New Purchases Only                   $100              Lowe's                           4    $25
                                                                                            $100
                                                                                            $500
Graugnard, Inc.             3%                                                            $1,000
                                                       Services
Pay-Less Supermarket 4%               $25              Regis Salons                     8      $25
                                      $50
                                      $75                   Entertainment
                                     $100
                                     $250              AMC Theaters Single             16 $9.50
Merle Norman Cosmetics &                               AMC Theaters                     7   $25
Fleur de Lis Giftshop  3              $15              Blockbuster Video Card          15 $3.79
                                      $25              Blockbuster Game Rental         15     $6
                                      $50              Blockbuster Gift Card            7   $10
                                                       Blockbuster Night Card          15   $12
Wal-Mart                        2     $25              Cinemark                         4   $25
                                     $100              United Artists/Regal Ent.        8   $25
                                     $250              iTunes                           4 $15
Auto Zone                     5      $25                      Pharmacy's
Advance Auto Parts            7       $25
BP                            2       $50              CVS Pharmacy                     6   $25
Chevron                     1.5       $50                                               6 $100
Exxon Mobil                 1.5       $50
Pep Boys                      4       $20              Rite Aid                         4      $25
Texaco                        2       $25              Walgreens                        6      $25
Circle K                      2       $25                                                     $100

    Grocery Store's

Winn Dixie                      4     $25
                                     $100                                                   Total    Page 1
Company                    %       $$$     # Amount   Company                     %        $$$      # Amount

      Restaurants                                     Courtyard/Residence Inn/              $100
                                                      Renaissance/Fairfield/Town            $500
Applebee's                    8     $25               Place/Springhill
Arby's                       10     $10
Baskin Robbins                9      $2               Carnival Cruise Lines            8    $100
Bennigan's                   12     $25               Must be ordered before
Burger King                   4     $10               purchase
Chili's/Macaroni Gril        11     $25
Chuck E. Cheese's             8     $10               Disney                          2%      $25
Cracker Barrel                9     $10                                                      $100
Denny's                       9      $5                                                    $1,000
Domino's Pizza                5      $5               Retailers
Fox & Hound Grill             8     $25               Amazon.com                       4   $25
Golden Corral                 3     $25               American Eagle Outfitters        9   $25
Heavenly Ham                  8     $25               AT&T 100+ min.                  20 $9.50
Honey Baked Ham              12     $10               Bass Pro Shops Online            7   $25
Jack in the Box               4     $15               Banana Republic                  9   $25
Joe's Crab Shack              9     $25               Barnes Noble/B. Dalton           9   $10
Kentucky Fried Chicken        9      $5                                                    $25
Logan's Roadhouse             8     $25               Bath & Body Works/              13   $10
Long John Silver's            8      $5               White Barn Candle Co.                $25
Olive Garden/Red Lobster      9     $25               Bed Bath & Beyond                7   $25
Outback                       4     $25               Best Buy                         2   $25
Papa John's Pizza             8     $10                                                   $100
Qboda Mexican                 7     $25                                                   $250
Pizza Hut                     8     $10
Ruby Tuesday's                8     $25               Build a Bear Workshop            8      $25
Ryan's/Fire Mountain Grill    7     $25               Border's/Waldenbooks             8      $10
Ruth's Chris Steakhouse      10     $50                                                       $25
Texas Roadhouse               8     $25               Brooks Brothers                 16      $25
TGI Friday's                  8     $25               Brookstone                      12      $25
Wendy's                       5     $10               Cabella's                       11      $25
Subway                        3     $10                                                     $100
Hard Rock Café                8     $25               The Children's Place            12      $25
                                                      Claire's                         9      $10
         Travel                                       Circuit City                     3      $25
                                                                                            $100
                        16
Am. Airlines/TWA/Am. Eagle           $50              Dell                             4    $100
                                    $100              Crate & Barrel Online            8      $25
                                                                                            $100
Bed & Breakfast.Com          10     $50               Dillards                         9    $100
                                                                                              $25
Best Western                 12      $25              Hickory Farms                   15      $10
                                    $100              Kohl's Department Store          4      $25
                                                                                            $100
Choice Hotels               4       $25               Dress Barn                       8      $25
Comfort/Quality/Sleep/Clairon                         Eddie Bauer                      9      $25
                                                      Express/Express for Men         13      $25
Hyatt Hotels and Resorts       9     $25              Finish Line                     10      $25
                                    $100              Foot Locker/Champs/Foot Act      9      $25
                                                      Electronics Boutique             3       25
Marriot Int.                 12     $50                                                    Total Page 2
Company                  %       $$$     # Amount   Company                 %       $$$     # Amount

Gap/Kids/Baby/Old Navy       9     $25
GNC                          8     $25              Tanger Outlet Center        8     $25
JC Penny's                   5    $100
                                   $25              Home Shopping Network       8     $25
K Mart/Super K Mart          2     $20
                                                    Game Stop                   3     $25
LL Bean                  15       $100
                                   $25              American Express        1.25% $100
Lands End                17        $25              Gift Cards                    $200
Lane Bryant               6        $25
                                                    Dick's Sporting Goods       8     $25

The Limited               9        $25              Zappos.com                  8     $25
Macy's                   10       $100
                                   $25
Marshalls/TJ Maxx            7    $100
                                   $25
Men's Wearhouse              8     $25
Motherhood Maternity         6     $25
Pier 1                       9     $25

Michaels                 4    $25
Kay Jewlers             12    $25
Office Depot             4    $25
Oshman's Sports          8    $20
Payless Shoes           13    $20
Pier 1 Imports           9    $25
Radio Shack              4    $25
Ritz Camera              6    $25
Rocky Mtn. Choc Factory 7     $25
Ross Dress for Less      8    $25
Sally Beauty Supply     12    $25
Sears                    4    $25
                             $100
                              250
See's Candies            25 15.00

Shoe Carnival                5$25
Shutter Fly                  9$25
Starbucks Coffee             7$10
                              $25
Structure (Express)      13   $25
Sunglass Hut             12   $25
Talbot's                 11   $25
ToysRUs/Babies/Kids     1.5   $20
                          8
Williams-Sonoma/Pottery Barn $25
                             $100
1-800-Flowers            10   $15

Gymboree                 13       $25
                                                                                    Total Page 3
         Company          %       $$$      #   Amount           Company              %       $$$    #   Amount
                                                           Entertainment Cont'd
      Automotive
Advance Auto Parts          7       $25                 Cinemark Single              14        $8
BP                          2       $50                 Cinemark Single               4       $25
Chevron                   1.5       $50                 United Artists/Regal Ent.     8       $10
Exxon Mobil               1.5       $50
Pep Boys                    4       $20                         Pharmacy's

 Home Improvement                                       CVS Pharmacy                     2    $25
                                                        Rite Aid                         4    $25
Ace Hardware                  4     $25                 Walgreens                        2    $20
Home Depot                    3     $25                                                      $100
                                   $100                       Grocery Store's
                                   $500
Lowe's                        4     $25                 Winn Dixie                       4    $25
                                   $100                                                      $100
                                   $500
                                                               Scrip Wallets
         Services
                                                        Small "Credit Card Slots"    15        $1
Service Master            10        $50                 Large "envelope size"        15        $2
Furniture Medic           10        $50
Merry Maids               10        $50                        Online Music
Terminex                  10        $50
                                                        Napster Music Downloads          7    $15
Regis Salons                  8     $25

    Entertainment

AMC Theaters Single       16      $8.75
AMC Theaters               7         $25
Blockbuster Video Card    15       $3.79
Blockbuster Game Rental   15          $6
Blockbuster Gift Card      7         $10
Blockbuster Night Card    15         $12

     Restaurants

Applebee's                 8        $25                 Long John Silver's               9     $5
Arby's                    10         $5                 Olive Garden/Red Lobster         9    $25
Baskin Robbins             9         $2                 Outback                          4    $25
Bennigan's                12        $25                 Qboda Mexican                    7    $25
Burger King                4        $10                 Quizno's                         8     $5
Chili's/Macaroni Gril     11        $20                 Ruby Tuesday's                   8    $25
Chuck E. Cheese's          8        $10                 Ryan's/Fire Mountain Grill       7     $5
Cracker Barrel             9        $10                 Texas Roadhouse                  8    $25
Denny's                    9         $5                 TGI Friday's                     8    $20
Domino's Pizza             5         $5                 Wendy's                          9    $10
Fox & Hound Grill          8        $25
Golden Corral              3         $5
Heavenly Ham               8        $25
Honey Baked Ham           12        $10
Jack in the Box            4        $15
Joe's Crab Shack           9        $25
Kentucky Fried Chicken     9         $5
Logan's Roadhouse          8        $25
           Retaliers

Amazon.com                 4      $25   Marshalls/TJ Maxx                7      $10
American Eagle Outfitters 8       $25                                           $25
AT&T 100+ min.            20    $9.50   Men's Wearhouse                  8      $25
Bass Pro Shops Online      7      $25   Motherhood Maternity             6      $25
Banana Republic            9      $25   Office Depot                     4      $25
Barnes Noble/B. Dalton     9      $10   Oshman's Sports                  8      $25
Bass Pro Shops             7      $25   Payless Shoes                   13      $20
Bath & Body Works/        13      $10   Pier 1 Imports                   9      $25
White Barn Candle Co.             $25   Radio Shack                      4      $25
Bed Bath & Beyond          7      $25   Ritz Camera                      6      $25
Best Buy                   2      $25   Rocky Mtn. Choc Factory          7      $25
                                 $100   Ross Dress for Less              8      $25
                                 $250   Sally Beauty Supply             12      $25
                                        Sears                            4      $25
                                                                               $100
Border's/Waldenbooks       8     $10                                           $250
                                 $25    See's Candies                   25   $14.10
Brooks Brothers           16     $25    Sharper Image                   16      $50
Brookstone                12     $25    Shoe Carnival                    5      $25
Cabella's online          11     $25    Shutter Fly                      9      $25
Casual Male                6     $25    Starbucks Coffee                 7      $10
The Children's Place      12     $25                                            $25
Claire's                   9     $10    Structure (Express)        13           $25
Circuit City               3     $50    Sunglass Hut/Watch Station 12           $25
                                $100    Talbot's                      8         $25
Comp USA                   4     $25    ToysRUs/Babies/Kids         1.5         $20
Crate & Barrel Online      8     $25    Williams-Sonoma/Pottery Barn 8          $25
                                $100                                           $100
Dillards                   9     $25    1-800-Flowers                    8      $15
                                $100
Hickory Farms             15     $10              Travel
Kohl's Department Store    4     $25
                                $100    Am. Airlines/TWA/Am. Eagle      16     $50
Dress Barn                  8    $25                                          $100
Eddie Bauer                 9    $25                                                  #   Amount
Express/Express for Men    13    $25    Bed & Breakfast.Com             10     $50
Finish Line                10    $25
Foot Locker/Champs/Foot Act 9    $25    Best Western                    12     $25
Gap/Kids/Baby/Old Navy      9    $25                                          $100
GNC                         8    $25
JC Penny's                  5    $25    Choice Hotels                    4     $25
                                $100    Comfort/Quality/Sleep/Clairon
K Mart/Super K Mart        2     $25
KB Toys/Works              9     $10    Hyatt Hotels and Resorts         9     $25
LL Bean                   15     $25                                          $100
                                $100
Lands End                  9     $25    Marriot Int.                    12     $50
Lids/Hat World             8     $25    Courtyard/Residence Inn/              $100
Linen-n-Things             8     $25    Renaissance/Fairfield/Town
Lillian Vernon            21     $20    Place/Springhill
The Limited                9     $25
Macy's                     9     $25    Carnival Cruise Lines            8    $100
                                $100    Must be ordered before
                                        purchase

				
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