| Unionville PTO Scrip Order Form |
You can also order online at www.shopwithscrip.com
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| Parent's Name & Phone # |
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Child's Name |
| Teacher's Name |
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Order
must be turned into the office by 2:00pm on Friday |
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| Product
(%) |
Value |
Qty |
Total |
|
Product (%) |
Value |
Qty |
Total |
| Aeropostale
(7%) |
$25 |
|
$ |
|
Lowe's Home
Improvement (4%) |
$100 |
|
$ |
| Amazon.com
(4%) |
$25 |
|
$ |
|
Lowe's Home
Improvement (4%) |
$25 |
|
$ |
| American
Eagle Outfitters (9%) |
$25 |
|
$ |
|
Macy's (10%) |
$25 |
|
$ |
| Applebee's
(10%)** |
$25 |
|
$ |
|
MC Sports (8%) |
$25 |
|
$ |
| Arby's
(8%) |
$10 |
|
$ |
|
Menards Home Centers
(3%) |
$100 |
|
$ |
| Barnes
& Noble Booksellers (10%)** |
$25 |
|
$ |
|
Menards Home Centers
(3%) |
$25 |
|
$ |
| Bass
Pro Shops (9%) |
$25 |
|
$ |
|
Michaels (4%) |
$25 |
|
$ |
| Bath
& Body Works (13%) |
$25 |
|
$ |
|
Noodle's & Company
(8%) |
$10 |
|
$ |
| Bed
Bath & Beyond (7%) |
$25 |
|
$ |
|
O'Charley's (13%) |
$25 |
|
$ |
| Best
Buy (3%) |
$100 |
|
$ |
|
Office Depot (4%) |
$25 |
|
$ |
| Best
Buy (3%) |
$25 |
|
$ |
|
Old Navy (11%) |
$25 |
|
$ |
| Blockbuster
(7%) |
$10 |
|
$ |
|
Olive Garden (9%) |
$25 |
|
$ |
| Bob
Evans (10%) |
$10 |
|
$ |
|
Outback Steakhouse
(5%) |
$25 |
|
$ |
| Borders
(9%) |
$25 |
|
$ |
|
Panera Bread (9%) |
$25 |
|
$ |
| BP
Gas (2%) |
$50 |
|
$ |
|
Payless Shoes (13%) |
$20 |
|
$ |
| Build-A-Bear
Workshop (8%) |
$25 |
|
$ |
|
PetSmart (4%) |
$25 |
|
$ |
| Burger
King (4%) |
$10 |
|
$ |
|
Pier 1 Imports (9%) |
$25 |
|
$ |
| Cabela's
(11%) |
$25 |
|
$ |
|
Pizza Hut (8%) |
$10 |
|
$ |
| Cheesecake
Factory (5%) |
$25 |
|
$ |
|
Pottery Barn (8%) |
$25 |
|
$ |
| Chili's
Grill & Bar (11%) |
$25 |
|
$ |
|
Qdoba Mexican Grill
(7%) |
$25 |
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$ |
| Chipotle
(10%) |
$10 |
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$ |
|
Radio Shack (4%) |
$25 |
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$ |
| Claire's
(9%) |
$10 |
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$ |
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Red Lobster (9%) |
$25 |
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$ |
| Cold
Stone Creamery (8%) |
$10 |
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$ |
|
Sam's Club (2%) |
$25 |
|
$ |
| Cracker
Barrel (9%) |
$10 |
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$ |
|
Sears (4%) |
$100 |
|
$ |
| Crate
and Barrel (8%) |
$25 |
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$ |
|
Sears (4%) |
$25 |
|
$ |
| CVS/pharmacy
(8%) |
$25 |
|
$ |
|
Shell (2.5%)** |
$25 |
|
$ |
| Denny's
(7%) |
$10 |
|
$ |
|
Shoe Carnival (5%) |
$25 |
|
$ |
| Dick's
Sporting Goods (8%) |
$25 |
|
$ |
|
Spaghetti Warehouse
(18%) |
$20 |
|
$ |
| Domino's
Pizza (5%) |
$5 |
|
$ |
|
Speedway (4%) |
$25 |
|
$ |
| Fazoli's
(7%) |
$25 |
|
$ |
|
Staples (5%) |
$25 |
|
$ |
| Foot
Locker (9%) |
$25 |
|
$ |
|
Starbucks (7%) |
$25 |
|
$ |
| Gap
(11%)** |
$25 |
|
$ |
|
Steak 'n Shake (8%) |
$10 |
|
$ |
| Great
Clips (8%) |
$25 |
|
$ |
|
Subway (3%) |
$10 |
|
$ |
| Gymboree
(13%) |
$25 |
|
$ |
|
T.J. Maxx (7%) |
$25 |
|
$ |
| Hallmark (4%) |
$25 |
|
$ |
|
Texas Roadhouse (8%) |
$25 |
|
$ |
| Hard
Rock Cafe (10%) |
$25 |
|
$ |
|
TGI Friday's (10%)** |
$25 |
|
$ |
| iTunes® (4%) |
$15 |
|
$ |
|
Wal-Mart (2%) |
$25 |
|
$ |
| JCPenney
(5%) |
$25 |
|
$ |
|
Wendy's (4%) |
$10 |
|
$ |
| Jiffy
Lube (8%) |
$30 |
|
$ |
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| Jo-Ann
Fabrics (6%) |
$20 |
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$ |
|
Kroger (3%) |
$50 |
|
$ |
| KFC
(9%) |
$5 |
|
$ |
|
Kroger (3%) |
$25 |
|
$ |
| KMart
(4%) |
$25 |
|
$ |
|
Marsh (5%) |
$50 |
|
$ |
| Kohl's
Department Store (4%) |
$25 |
|
$ |
|
Marsh (5%) |
$20 |
|
$ |
| L.L.
Bean (17%)** |
$25 |
|
$ |
|
| Limited,
The (9%) |
$25 |
|
$ |
|
Total Due |
$ |
| Longhorn
Steakhouse (9%) |
$25 |
|
$ |
|
| **Limited
time bonus offer. |
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Payment MUST
accompany order. Checks should be made
payable to: Unionville
PTO |
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| _____ |
Please send my scrip
order home with my child |
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_____________________________________________________________ |
| _____ |
I will pick up my scrip
from Sidney on Friday |
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