Personal Gift Card Order Form Scrip Service Center - 8-9-17
Name:_________________________ Phone:_________________________
Date:___________________
Email:_________________________
GROCERY
$ Total
QTY
Albertson’s & Sav On
4%
$50 $100 $10
Fred Meyer /QFC/Kroger
4%
$20
$100 4%
New Seasons
4%
$50 $50 $100 $25
Safeway
4%
$50 $100
Bales/Lambs Thriftway Whole Foods Market
®
4%
3%
$50 $50 $100
RETAIL / DEPARTMENT
Adidas Bed, Bath, & Beyond Bridgeport Village All stores, kiosks, restaurants & theater.
Cabela's Columbia Sportswear Retail outlets,employee stores for those w/ access..
13%
$25
5%
$10
4%
$25
8%
$25
12%
$50
26%
$6
15%
$30
22%
$7
26%
$6
Applebee’s Baja Fresh Bellagio’s Pizza Big Town Hero* Buffalo Wild Wings Burger King Burgerville Carl’s Jr. / Green Burrito Chevy’s Chipotle Claim Jumper Copper River Restaurant & Bar Hillsboro Davidson’s* - Tigard - No change Denny’s Restaurant Domino’s Pizza * OR and WA only Elmer’s Pancake House* Famous Daves BBQ Godfather’s Pizza* Med Special or Lrg 2 top HoneyBaked Ham Izzy’s Pizza
8%
$10
8%
$10
5%
$20
8%
$5
8%
$25
4%
$5
8%
$10
5%
$10
8%
$15
9%
$10
RESTAURANTS
8% $25 Dicks Sporting Goods See Old Navy to order GAP See Marshalls to order John’s Incredible Pizza Co Home Goods 4% $25 JC Penney Landry’s Restaurants Claim Jumper, Morton’s Steak, Harborside $25 Kohl’s Also payment on acct. in store. 4%
Macy’s Marshall’s-TJ Maxx/ HomeGoods Nike, Inc. Nike Town, Online, Outlets, Employee store for those with access
Nordstrom
Old Navy Gap Banana Republic
GAP KIDS ~ Outlet Stores One Card for All
Payless Shoe Source R.E.I. All Stores and Online Ross Dress for Less Sears- Kmart-Lands End Target The Children’s Place Walgreens Walmart
10%
$25
6%
$25
12%
$50
4%
$25
$ Total
#
Eco Car Wash 1 wash Save $1 Jiffy Lube * Kaady Car Wash 1 wash Save $1 Washman Car Wash* 1 wash Save $1
$25 $50
Natural Grocers
AUTOMOTIVE
Jake’s Grill &Crawfish,Bubba Gump McCormick & Schmick’s,Chart House,
McCormick and Schmick's McGrath’s Fish House McMenamins / Ruby’s Spa
For any Restaurant, Brew Pub,Spa, Hotel,Theater, Gift Shop, Hair Salon
12%
$25
12%
$25
Noodles & Company Old Spaghetti Factory*
8%
$25
No change back
8%
$25
5%
$50
2.5%
$25
12%
$25
4%
$25
1%
$25
Olive Garden/Yard House
1
See Landry's to order
See Oswego Grill to order
RESTAURANTS Cont. Oswego Grill / Copper River Outback Steakhouse Panda Express Panera Bread & Cafe Papa John’s Pizza* OR & SW WA Papa Murphy’s Pizza Pastini Pastaria Pizza Caboose* Pizzicato Gourmet Pizza *
$25
8%
$15
8%
$10
10%
$5
8%
$10
8%
$25
8%
$10
Portland City Grill
See Stanfords to order
Red Robin Roundtable Pizza* - OR & SW WA Shari’s Restaurant Sonic Drive-In Stanford's/Manzana's/Henry's
5%
$10
12%
$10
Taveran,Portland City Grill, Newport Seafood Grill, and more
8%
$5
Subway - can be used to pay for school
10%
$25
lunch programs
27%
$14
13%
$10
8%
$20
Sweet Tomatoes Taco Bell Taco Time OR and SW Wash. Tom’s Pancake House* No Change back Veggie Grill Yard House
9%
$25
8%
8%
$10
$25
8%
Not airport, Bend, or Hood River No change back.
8%
8%
$ Total
#
$10
7%
$10
12%
$10
8%
$20
8%
$10
8%
$25
$15
6%
$100
8%
$25
4%
$10
10%
$15
8%
$10
9%
$15
Order @ Olive Garden
ENTERTAINMENT/TRAVEL/VISA 7%
$10
Cinemark* - Century Theaters Family Fun Center & Bullwinkle's
Games,cars,golf, and food Wilsonville Only 12%
$25
Family Theaters* Tigard and Oak Grove Regal Cinemas Gift Card
8%
$10
Good all hours and for concessions
8%
$10
Regal Cinemas * Paper Ticket Adult prime time ticket is less than door price
8%
$10
7%
$9.00
15%
$25
16%
$10
7%
$15
7%
$9.50
Visa® Prepaid Card1 1.5% no activation fee If used at Winco they require a pin #
No card return.
8-9-17
$ Total
# 4%
$25 $25
load funds on account for future purchases.
3%
Backyard Bird Shop Barnes & Noble Bath & Body Works Best Buy Big 5 Sporting Goods Build A Bear Workshop Coastal Farm & Ranch Cold Stone Creamery Craft Warehouse Home Depot iTunes Internet music & more Joann Fabrics Krispy Kreme*1 dz glazed/3 max visit Lowe’s Michaels Crafts Office Depot Peet's Coffee Petco Petsmart Pier 1 Imports Pottery Barn -Williams Sonoma Powell’s Books Sally Beauty See’s Candy* 1 lb. certificate
8%
$25
8%
$10
7%
$10
2%
$50
8%
$25
8%
$25
4%
$25
$100
8%
$5
8%
$10
3%
$50
3%
$25
5%
$25
41%
$10
4%
$50
3%
$25
7%
$25
8%
$20
8%
$25
4%
$25
8%
$25
7%
$25
8%
$10
8%
$25
9%
$18
4%
$25
4%
$25
Starbucks Coffee
6%
$10
Ulta
3%
$25
50%
$15
50%
$25
Sephora Staples Office Supplies
$5 $25
Chinook App-Adroid or iPhone Chinook Book + App TOTAL all columns =
$50
Card Issued by MetaBank ® , Member FDIC. Terms, conditions, expiry apply - see program website for details. www.ttsdschools.org/pages/ttsd/Parents/Scrip_Service_Center * Paper Certificate - no change back
ACE Hardware Amazon.com For online. Can
Retail Price $19.90 per lb. $1.90 savings
$25
See Landry's to order
SPECIALTY STORES
$ ______
Please make check payable to: ________________________________ Thank You for your Support!
