Call Charles at  275-28678 if you have any questions.
HOLY GHOST CATHOLIC SCHOOL SCRIP ORDER FORM
Revised 08/17/06
On-Line Catalog/Misc. Percent Denominations Amount Grocery/Drug Stores Percent Denominations Amount
1-800-Flowers 8% $15   Walgress 2% $20  
675 Minute Total Access Phone Card 15% $20   Department Stores      
Amazon.com 4% $25   Dillard's 9% $25  
AT&T 120 min phone card 20% $9.50   JC Penny * 5% $25 & $100  
Cabela's 11% $25   K Mart 2% $25 & $50  
Land's End 9% $25 & $100   Macy's/Foley's 9% $25 & $100  
Lillian Vernon 21% $20   Sears 4% $25-100-250  
L.L. Bean 15% $25   * Accepted for payment on store charge account.  Please pay in person
Napster (15 songs) 8% $15  
Shutterfly 9% $25   Restaurants/Fast Foods      
Retail Stores       A & W Restaurants 5% $5  
American Eagle Outfitters 8% $25   Applibees 8% $20  
Barnes & Noble/B Daltons 9% $10 & $25   Arby's 10% $5  
Bath & Body Works 13% $10 & $25   Auntie Anne's 8% $10  
Bed, Bath & Beyond 7% $25   Basking Robbins 9% $2  
Best Buy 2% $25-100-250   Bennigan's/Steak & Ale 13% $25  
Big 5 8% $25   Black Angus 14% $20  
Blockbuster Gift Card 7% $10   Boston Market 10% $10  
Night Card 15% $12   Burger King 4% $10  
Single Game Rental 15% $6   Carl's Jr. 9% $5.00  
Single Movie Rental 15% $3.79   Carrows 8% $10  
Borders 9% $10 & $25   Chili's/Macaroni Grill 11% $20  
Brookstone 12% $25   Chuck E Cheese 8% $10  
Casual Male Big & Tall 6% $25   Cracker Bareel 9% $10  
Cinemark Theaters 4% $25   Del Taco  4% $5  
Circuit City 3% $50 & $100   Dennys 9% $5  
Claire's Boutique 9% $10   Domino's Pizza 5% $5  
Comp USA 4% $25 Pizza & 2 Liter Coke 25% $14  
Dennis Uniforms 5% $20   Golden Corracl 3% $5  
Dress Barn 8% $25   Great Harvest Bread Co 8% $10  
Eddie Bauer 9% $25   Hometown Buffet 5% $25  
Express 13% $25   Honey Baked Ham 12% $10  
Footlocker 9% $25   Johnny Rockets 8% $5  
Gap / Old Navy / Banana Republic 9% $25   KFC 9% $5  
GNC 8% $25   Landry's Seafood 9% $25  
Harry and David 12% $25   Long John Silvers 9% $5  
Jo-Ann Fabrics 6% $20   Mimis Café 5% $25  
K-B Toys 9% $10   Mrs. Field's Cookies 10% $5  
Kohl's 4% $25 & $100   Outback Steak/Carrabas's 4% $25  
Lids 8% $25   Pizza Hut 9% $10  
Limited 9% $25   P.F. Chang's 7% $10  
Linens-N-Things 8% $25   Quinznos 8% $5  
Men's Warehouse 8% $25   Red Lobster/Olive Garden 9% $25  
Motherhood Maternity 6% $25   Red Robin 9% $10  
Office Depot 4% $25   Rocky Mountain Chocolate 11% $10  
Office Max 5% $25   See's Candies 25% $14.10  
Payless Shoes 13% $20   Starbucks 7% $10 & $25  
Pier 1 9% $25   Sweet Tomato 8% $10  
Radio Shack 4% $25   Taco Cabana 6% $10  
Regal/UA Theaters 8% $10   TCBY 10% $5  
Regis Salon 8% $25   TGI Fridays 8% $20  
Ritz Camera 6% $25   Wendy's 9% $10  
Ross Dress for Less 8% $25   Travel      
Sam Goody/Suncoast 9% $20   American Airlines 8% $50 & $100  
Spa Finder 8% $25   Bedandbreakfast.com 10% $50  
Sports Authority 8% $25   Best Western Hotels 12% $25 & $100  
Staples 5% $25 & $100   Carnival Cruise 8% $100  
Sunglass Hut 12% $25   Choice Hotels Internat. 4% $25  
TJ Maxx/Marshall's 7% $10 & $25   Hyatt Hotels 9% $25 & $100  
Talbot's 8% $25   Marriott 12% $25 & $100  
Toys / Babies R Us 3% $20   Local Vendors       
Williams-Sonoma 8% $25 & $50   Blake's Lota Burger 5% $5 NA
Automotive/Gas 8%     Garduno's 10% $20  
Checker Auto 2% $25   Quarters BBQ 10.0% $25  
Chevron 1.5% $50   Twisters 20.0% $5  
Exxon/Mobile 1.5% $50   Wendy's ** 25% $10  
Pep Boys 4% $20   ** Because of limited availability, the 1st $10 will be ordered from National Scrip (9%).  The 2nd $10 will be provided from our local vendor (25%), etc. If not abailable locally, will order from National Scrip.
Shell 2% $25 & $100  
Texaco (TECHRON logo) 1.5% $50  
Vavoline Instant Oil 17% $27.99  
Home Repair / Service       NA - Not available currently
Ace Hardware 4% $25  
Home Depot 3% $25-100-500   Total Order:  _________________________
Lowe's 4% $25-100-500  
Service Masters 10% $50 Order Date:  _________________________
Merry Maids 10% $50  
Terminex 10% $50   Make checks payable to Holy Ghost School
TruGreen Chemlawn 10% $50  
Text Box: Student's Name ___________________ Student's Grade __________ Telephone Numbers __________ Email Address ________________
Text Box: Deliver to student _______ Yes _______ No Parent's Name ____________________________
Text Box: Allocation of Percent Earned: First $20 per year to Scrip Program, then 80% to Family Tuition Reduction and 20% to Scrip Program. Tuition reduction will be applied to the next school year (2007-2008).
     
Text Box: Amt. Earned _______________ Scrip _______________ Family ______________
Text Box: All returned gift cerificates are subject to a 10% restocking fee (minimum charge of $5.00) and must be returned within 30 days of the order date with prior approval from an authorized Scrip associate.