SCRIP/GIFT CARD ORDER FORM

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Please return this form to school with your check, made payable to St. Peter Academy

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Please mark your envelop: Scrip Sales Attn: Marianne

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Your order will be sent home the following school day, subject to availability

CHILD'S NAME:

GRADE:

GROCERY GIFT CARDS:

$

0%

QTY

TOTAL

*Please circle the denomination you would like to receive*

SHOP-RITE

$100,$50,$25,$10,$5

5%

PATHMARK

$100, $25

5%

STOP & SHOP

$100, $25

4%

A&P

$100, $25

4%

*Grocery gift card orders must be on a separate check from Misc. gift cards*

MISC. GIFT CARDS:

$

QTY

TOTAL

AMC/LOEW'S

$25

7%

AMERICAN EAGLE

$25

8%

APPLEBEE'S

$25

8%

BARNES & NOBLE'S

$25, $10

9%

BATH & BODY WORK'S

$10

13%

Boston Market

$10

12%

BURGER KING

$10

4%

CHARLIE BROWN'S

$25

8%

CVS

$25

2%

GAP/OLD NAVY

$25

9%

KOHL'S

$25

4%

MACY'S

$25

9%

OLIVE GARDEN/RED LOBSTER

$25

9%

OUTBACK

$25

4%

PANERA

$10

9%

PAYLESS

$10

13%

SEAR'S

$25

4%

SHELL GAS

$25

1.5%

SPORT'S AUTHORITY

$25

2%

STARBUCK'S

$25

7%

SUBWAY

$10

10%

TOY'S R US

$20

1.5%

WENDY'S

$10

4%

*

Misc. gift card orders may be combined on one check

TOTAL:

If you have any questions or if there is a problem or discrepancy with your order,

please call Marianne Tracey at 201-880-5111.

Thank you for your continued support of this fund raiser.