S C R I P O R D E R F O R M Revised 8.12.16 Name: HFS ... Family School — Auburn, WA Revised S C R...
Transcript of S C R I P O R D E R F O R M Revised 8.12.16 Name: HFS ... Family School — Auburn, WA Revised S C R...
Holy Family School — Auburn, WA Revised
8.12.16 S C R I P O R D E R F O R M
Name: HFS Student: Grade: Date:
Daytime Phone: E-Mail Address: online enrollment code: 6A328D2B237L4
PLEASE MAKE CHECKS PAYABLE TO “HOLY FAMILY SCHOOL” or “ HFS ” Additional forms can be printed at www.hfsauburn.com/scrip
Questions? Please contact Wyatt Smith at 425-343-6856 (call or text) or email: [email protected] * = "ScripNOW!" - Order and print online
** = "Reload" - Reload card online
Company Name % Value How
Many? Total $ Company Name % Value
How Many?
Total $ Company Name % Value How
Many? Total $
FOOD & GROCERIES RESTAURANTS
** 4% $25 Anthony's / Harbor Lights 10% $25 OUT OF STOCK NEW 10% $25
4% $100 8% $25 McDonald's 6% $5 OUT OF STOCK
(Smart & Final) 3% $25 * 8% $50 6% $10
3% $50 ARBY’S 8% $10 6% $25
3% $100 Athens Pizza and Pasta
20% $25 (SC) 22% $10
2% $100 * (Darden) 9% $25 McCormick & Schmick’s * (Landry's) 9% $25
12% $25 7% $25 Morton's Steakhouse * (Landry's) 9% $25
12% $50 BIGFOOT JAVA 20% $25 Oddfellas/ 25% $20 OUT OF STOCK
12% $100 * 12% $25
Olive Garden/Red Lobster * 9% $25
5% $50 * 8% $25 * 8% $25
5% $100 * ** 8% $10
P. F. Chang's China Bistro 8% $25
6% $20 8% $25 PANDA EXPRESS 8% $25
6% $50 Burger King * ** (WG) 4% $10
Panera Bread * 9% $10
5% $25 California Pizza Kitchen * 8% $25 9% $25
5% $50 Carl's Jr. 5% $10 Papa John's Pizza * ** 8% $10
5% $100 Cheesecake Factory * (WG) 5% $25
8% $10
** 4% $25 Chipotle * 10% $10 Pizza Hut * 8% $10
4% $100 8% $10
Mexican Grill NEW 7% $25
Super Saver Foods 7% $25 Claim Jumper * (Landry's) 9% $25
Rainforest Café * (Landry's) 9% $25
* 2.5% $25 8% $10 * 9% $25
2.5% $100 Limited Time (CC) 33% $15
RUTH’S CHRIS STEAK HOUSE 10% $50
2.5% $250 Cracker * 9% $25 Salty's Seafood 10% $25
6% $25 Dairy Queen (WG) 6% $15
(WG) 6% $100 NEW 7% $10 Space Needle (SFW) 4% $50
DENNY’S 7% $10 * ** 7% $5
(SC) 22% $20 7% $10
GAS & AUTO * ** 8% $10 7% $25
76 ** 1.5% $25 Chowder House 18% $25 Subway ** 6% $10
1.5% $100 20% $25 6% $50
ARC O (SW, L) 4% $50 Frugals Burgers 25% $10 Taco Bell ** 5% $10
AutoZone 8% $25 HOP JACKS 20% $25 LIMITED TIME 20% $10
** 1% $50 IHOP * 8% $25 5% $25 OUT OF STOCK
(reloading card online 1% $100 Jack in the Box 4% $10 / C.I. Shenanigan's 20% $25
earns 1.5%) 1% $250 Krispy Kreme * (10-100) NEW 8% $10 The Ram 2 for 1 Coupon Card 100% $10
Jiffy Lube * ** 8% $30 Landry’s * 9% $100 The Rock Pizza 20% $25 OUT OF STOCK
Pep Boys 4% $20 25% $10 Village Inn * 13% $25
Shell (WG) (WG) 6% $50 Little Caesar's Pizza! Pizza! 8% $20 (WG) 6% $15
MUSIC/BOOKS/ENTERTAINMENT CREDIT CARDS
* 6% $10 * (eCard Only) NEW 6% $25 America 1.25% $25
(reload earns only 3%) 6% $25 * 5% $15 Express 1.25% $100
6% $50 LIMITED TIME 15% $25 1.25% $200
6% $100 (WG) 6% $20
6% $500 * 8% $25
AMC/Loews Theaters * ** 8% $25 Regal Cinema Premiere Ticket * 10% $10 OUT OF STOCK NEW 2% $50
* 9% $10 (WG) 6% $20
9% $25 * 6% $15 BEAUTY & WELLNESS
(WG) NEW 6% $25 6% $25 1-800-Flowers.com * 12% $25
(must also have a PayPal account) 6% $100 (wg) 6% $50 8% $25
(WG) NEW 6% $25 8% $25
(WG) 6% $25 Regis/Mastercuts/Hairmasters 8% $25
6% $100 Sephora * 5% $20
* NEW 7% $25 Vivian Clinical Day Spa 20% $25
DONATE SCRIP TO THE ST. VINCENT de
PAUL FOOD BANK
Grocery Outlet 12% $5
12% $25
12% $100
THE OUTLET COLLECTION
Help the people of Auburn AND Holy Family School These cards will be delivered directly to the food bank.
2016 Coupon Book 100% $5 .
Magical Night of Giving Ticket 100% $5 Coming in November
Total this side
Company Name % Value How
Many? Total $ Company Name % Value
How Many?
Total $ Company Name % Value How
Many? Total $
RETAIL STORES Hotels / Car Rentals / Travel
4% $25 * 16% $25 Avis Car Rental Car Rental 8% $50
* 13% $25 (ScripNow $50 only) 16% $100 Bed and Breakfast.com* (eCard only) 10% $100
* 4% $25 Car Rental 8% $50
* 9% $25 4% $100 Best Western Hotels 12% $25
American Girl 9% $25 (wg) 4% $500 12% $100
9% $100 Ma c y's * 10% $25 3% $50
* 9% $25 10% $100 3% $100
9% $100 Maurices 7% $20 4% $250
Bath & Body Works* ** 13% $10 MEN’S WAREHOUSE 8% $25 AIRLINES * 4% $1,000
13% $25 Craft Store 4% $25 Disney (WG) 6% $25
* 7% $25
NIKE * 12% $25 6% $100
7% $100 * 6% $25 6% $500
Best Buy * (WG) 6% $25 (wg) 6% $100 Hotels 9% $100
6% $100 Office Depot/Office Max 5% $25 Golden Nugget * (Landry's) 9% $100
Big 5 Sporting Good 8% $25 5% $100 Hotels.com * * ($10 - $2000) 6%
16% $25 9% $25 Hyatt Hotels * ** 10% $50
* 8% $25 * 8% $25 10% $100
Coat Factory 8% $25 Payless Shoe 13% $20 * 4% $50
* 11% $25 4% $100
11% $100 * (glsc cert. only) 5% $10 4% $250
** 10% $25 (WG) 6% $25 ($30-$1000 eCard available) (wg) 4% $500
/ Icing 9% $10 9% $25 Restrictions may apply to cruises. Find out more at www.shopwithscrip.com or contact your scrip coordinator. Columbia Sportswear * 12% $50
Container Store * 9% $25 8% $25 * ($30-$500) 8%
9% $100 8% $100 Carnival Cruises * ( *($10-$1000) 9% $100
Dennis Unifo Uniform 8% $20 REI * (ScripNow! $25 or $100) 8% $25 Royal Caribbean * 13% $100
Dicks Sporting 8% $25 ($100 OR $500) 13% $500
8% $100 Rite Aid 4% $25 Princess Cruises * * ($30-$2000) 6%
8% $25 DRESS FOR LESS 8% $25
(WG) 6% $25 NEW 12% $50
* 10% $25 * 4% $25 HFS Vinyl CAR Window Decal 50% $6 OUT OF STOCK
Gap / Old Na 14% $25 (WG) 4% $100 Card Case - Hard 5% $6
Banana Rep * ** 14% $100 See's Candy (one pound box) 20% $19 Cascading Card File 25% $3
13% $25 See's Candy 9% $25 (WG) 6% $25 Shutterfly.com * 9% $25 Brown Bear Carwash 0% $5 6% $100 (80% to Holy Family Parish)
* 4% $25 * 5% $25
Home De * 4% $25 Restaurant.com 50% $20
4% $100 13% $25 (Card Value is $50)
(wg) 4% $500 (SFW) 4% $25
Fabrics and Crafts 6% $25 4% $100 2016 Single Day Tickets
- Entrance to Both Parks - JC Penney * ** 5% $25 The Children’s Place 12% $25
5% $100 7% $25
13% $25 7% $100 June Ticket (All Ages -Expires July 3rd) 11% $16
(L) NEW 6% $25 (WG) 6% $25 July-Sept Adult Ticket 11% $28
6% $50 6% $100 July-Sept Child/Senior Ticket 7% $20
* 4% $25 ULTA BEAUTY * 4% $25
(wg) 4% $100 6% $25
* 4% $25 6% $100
(can be used for paying account) 4% $100 * 8% $25
16% $25 8% $100
* (ScripNow! $50, $100, $250) 16% $100
TOTAL PAGE 1:
TOTAL PAGE 2:
TOTAL OF ALL STORES:
* "ScripNOW!" - Order and print certificates online
** "Reload" - Reload card online
OFFICE USE ONLY
Mention HFS at Vivian Clinical Day Spa, and they will donate 20% of the bill to our SCRIP Cash___ Check___ Card___ $ Filled
program. Cards do not need to be purchased in advance. Be sure to tell them the HFS PayPal Fee (2.7%) + $ Entered
student/family name so the amount can be credited towards their fundraising commitment. Check # ___________ Total $ rev. 8.12.16
* **