Docstoc

Scrip

Document Sample
Scrip Powered By Docstoc
					                                                                  Name:
                                                                                                                          Delivery Options:               ORDER TYPE:

                                                                  Email:
                                                                                                                                  Home w/ Student                 ONE TIME ORDER
                         2010-2011 Scrip ORDER Form
                                                                  Phone:
                                                                                                                                  Hold @ GS Office                STANDING MONTHLY
   PARENT        Due Dates:   15-Sep    13-Oct   10-Nov                                                                                                           ORDER
                                                                  Student:
  TEACHER                     8-Dec     12-Jan   9-Feb                                                                            Hold @ HS Office
    CLUB
                              2-Mar     13-Apr   18-May
                                                                  Teacher:
                                                                                                                                                            Revised 10/1/10

   Retailer                    Profit    Price      #     Total    Retailer                  Profit   Price   #   Total               Retailer           Profit    Price       #   Total
GROCERY                                                           RESTAURANTS                                             SPECIALTY & OTHER
Albertsons                     4-5%      $50                      Applebee’s                  8%      $10                 Baskin Robbins                  8%       $2
                               4-5%      $50                      Baja Fresh                  8%      $10                 Bath & Body Works               7%       $10
Fred Meyer / QFC
                               4-5%      $100                     Bellagio’s Pizza            4%      $20                 Best Buy                        2%       $50
                                5%       $50                      Big Town Hero               8%      $5                  Big 5 Sporting Goods            8%       $25
New Seasons
                                5%       $100                     Burger King                 6%      $5                  Cold Stone Creamery             8%       $5
                                4%       $50                      Burgerville USA             8%      $10                 Craft Warehouse                 8%       $10
Safeway
                                4%       $100                     Carl’s Jr./Grn Burrito      5%      $10                 Home Depot                      3%       $50
Thriftway                       4%       $25                      Chipotle                    9%      $10                 iTunes                          3%       $25
RETAIL                                                            Denny’s Restaurant          5%      $10                 Jamba Juice                     7%       $5
American Eagle Outfit.          3%       $25                      Domino’s Pizza             12%      $10                 Joann Fabrics                   5%       $20
Bed, Bath, & Beyond             5%       $10                      Garlic Jim’s Pizza          8%      $10                 Krispy Kreme                   43%       $9
Bridgeport Village              4%       $25                      HoneyBaked Ham              8%      $10                 Lake Oswego Everywhere          5%       $10
Dick's Sporting Goods           8%       $25                      KFC                         7%      $10                 Lowe’s                          4%       $50
Gap/Old Navy/Banana             8%       $25                      Macaroni Grill/Chili’s      8%      $10                 Michael’s Crafts                3%       $25
Hanna Anderson                  6%       $10                      McGrath’s Fish House        7%      $10                 Petco                           8%       $25
JC Penney                       4%       $25                      McMenamins/Ruby Spa        12%      $25                 Pier 1 Imports                  8%       $25
Macy’s                         10%       $25                      Newport Bay/Stanfords       8%      $25                 Pottery Barn/Williams Sonoma    6%       $25
Nike, Inc.                     12%       $50                      Old Spaghetti Factory       8%      $10                 See’s Candies (1 lb.)          10%       $14
Payless Shoe Source            12%       $25                      Olive Garden/Red Lobster    8%      $10                 Staples                         4%       $25
REI                             8%       $25                      Outback Steakhouse          8%      $25                 UU Yogurt                      20%       $5
Ross Dress for Less             8%       $25                      Panera Bread & Café         8%      $10                 Total Access Phone Card        16%       $20
Sears/Kmart/Lands End           4%       $50                      Papa John’s Pizza           8%      $5
AUTOMOTIVE                                                        Pizza Caboose               8%      $10                 ORDER TOTAL $                                    $               -
Jiffy Lube                     12%       $30                      Pizza Schmizza             10%      $5                  Optional 3.5% for VISA fees
Kaady Car Wash (10)            26%       $45                      Pizzicato Gourmet Pizza     8%      $10                 TOTAL PAYMENT OWED $                             $               -
Lake Grove Car Wash            14%       $22                      Red Robin                   7%      $10
ENTERTAINMENT                                                     Roundtable Pizza           12%      $10                 PAYMENT METHOD:
Cinemark/Century theat         10%       $8.25                    Shari’s Restaurant          8%      $10                    CHECK (payable to RIVERDALE SCRIP)
Family Fun Ctr/Bullwinkles     15%       $25                      Subway                      6%      $15                     CREDIT CARD
Regal Cinemas                   7%       $15                      COFFEE                                                  VISA / MC #:
BOOKS                                                             Chuck’s Place Coffee       15%      $20
Barnes&Noble/B Dalton           8%       $10                      Peet’s Coffee               8%      $20                 EXP. DATE:                              CVV #:
Borders / Waldenbooks           6%       $10                                                  6%      $10
                                                                  Starbucks
Powell’s Books                  8%       $10                                                  6%      $25

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:9/3/2011
language:English
pages:1