PDF Lincoln Scrip Form (Side 1 Info) al042109
Lincoln Scrip
Scrip Updates:
? Please check dates below for Ordering and Pick-up for remaining school year ? Order by April 24 to receive your Scrip gift cards in time for Mother's Day ? No school on 5/22 so Scrip pick-up will be Wed. 5/20 & Thur. 5/21** ? Last Scrip order for the school year is due May 29 so stock up for summer! ? Please call the phone numbers on the back of the gift cards for balance info. ? Return MESH binder clips to the office or thru the MESH folder ? thank you!
Forms in MESH:
Order Due Dates:
Apr. 23
Apr. 24
May 7
May 8
May 14
May 15
May 28
* Last Order *
May 29
Scrip Pick-Up/MESH:
Apr.30-May 1 May 14-15 May 20-21 (Wed & Thu)** June 4-5
? It is recommended for orders to be picked up at the Scrip Table ? Scrip is not refundable and cannot be replaced if lost ? Orders turned in after the due dates will be added to the following next order
What is Scrip? Scrip is a full valued gift card or certificate that earns a percentage for our school. How? Your favorite vendors sell their gift cards/certificates at a discount to the Lincoln PTA and the difference we earn helps fund various PTA sponsored programs, equipment maintenance, and supplies for our school.
For example, buy from Scrip a $100 Macy's gift card, you receive the $100 gift card AND 10% ($10) is earned by the Lincoln PTA.
How to order and pick-up Scrip? Scrip order forms are available in the office, through the MESH, or can be printed online at the Lincoln PTA website: lincoln-.
? Complete all information on order form and return with a check written out to
LINCOLN PTA in a sealed envelope labeled "SCRIP" through the MESH or drop it off in the office by 3:30pm on Order Due Dates (see above).
? Orders will be received on Pick-Up/MESH Dates (see above) at the Scrip Table
outside the office or sent home in your child's MESH folder. Mark your preference on order form.
Note: Only the person you designate on the order form can pick up your order. Please notify us of any changes.
Checks should be made payable to: LINCOLN PTA.
** Service fees will be added for returned checks ** Scrip is not tax deductible
Questions? Email the Scrip Committee at: lincolnscrip@
Revised AL 04/21/09
LINCOLN SCRIP ORDER FORM
Adult (Lastname, Firstname)
Child (Lastname, Firstname) Room#/Teacher: Phone 1: Email:
Phone 2:
Check ONE Pickup-Option:
SCRIP Table outside of Office ___SCRIP Table Thursday 2:30-3:45PM
___SCRIP Table Friday 8:40-9:15AM Person to pick-up order at SCRIP Table:
Today's Date: ____ STAFF ____ MESH (Grades 1 - 5) ____ MESH Kindergarten AM ____ MESH Kindergarten PM
ITEM
%
QTY. SCRIP AMOUNT
ITEM
% QTY.
GROCERY/DRUG
Han Kook Market
4%
Lion Food Ctr. $10
2%
Lucky's/Savemart $10
Lucky's/Savemart $25
2%
Lucky's/Savemart $50
Lucky's/Savemart$100
Marina Foods $10
5%
Ranch 99 $10
5%
Ranch 99 $20
Safeway $25
Safeway $50
4%
Safeway $100
Tin Tin $10
5%
Walgreens $25
4%
BOOK STORES
$25
3%
$100
Barnes & Noble $10
7%
Barnes & Noble $25
Border's $10
6%
Border's $25
6%
$10 $10 $10 $25 $50 $100 $10 $10 $20 $25 $50 $100 $10 $25
$25 $100 $10 $25 $10 $25
ENTERTAINMENT
*AMC Silver Ticket
10.7%
$7
* valid after two weeks of new movie releases
**AMC Gold Ticket
8.8%
$8.50
** valid anytime including new movie releases
AMC $25 Gift Card
6%
$25
AMC Small Drink
11.4%
$3.50
AMC Small Popcorn 11.4%
$3.50
Blockbuster $10
6%
$10
RETAIL STORES Banana Republic $25 Bath & Body Works $10 Bath & Body Works $25 Bed Bath&Beyond $25 Crate & Barrel $25 Gap/Old Navy $25 Home Depot $25 Home Depot $100 JC Penney $10 JC Penney $25 JC Penney $100 Kohl's $25 Lowe's $25 Lowe's $100 Macy's $25 Macy's $100 Office Max $25 Pottery Barn $25 Sears $25 Sears $100 See's 1-lb box/certificate Smart & Final $25 Smart & Final $100 Sports Authority $25 Staples $25 TJ Maxx/Marshall's $25 TJ Maxx/Marshall's $100 Toys R Us $20
GAS & OTHERS Arco Gas $50 Baskin Robbins $2.00 Cold Stone $10 Honey Baked Ham $10 iTunes $15
7% 11%
6% 6% 7% 2%
5%
3% 3%
10%
3% 6% 3% 3% 25% 2%
6% 4% 6%
1.5%
1.5% 9% 6% 10% 3%
SCRIP AMOUNT
$25 $10 $25 $25 $25 $25 $25 $100 $10 $25 $100 $25 $25 $100 $25 $100 $25 $25 $25 $100 $15 $25 $100 $25 $25 $25 $100 $20
$50 $2 $10 $10 $15
ITEM
RESTAURANTS Applebee's $25 Baja Fresh $10 Black Angus $10 Black Angus $20 Boston Market $10 Burger King $5 California Pizza Kitchen Carl's Jr. $10 Cheese Cake Factory Chevy's $25 Chili's $10 Chili's $25 Chipotle $10 Chuck E. Cheese $10 Claim Jumper $25 Dave & Buster's $25 Denny's $10 Jamba Juice $10 KFC $5 Marie Callender's $25 Olive Garden $25 Outback $25 Panera Bread $10 Peet's Coffee $20 PF Chang's $25 Pizza Hut $10 Red Lobster $25 Red Robin $25 Starbucks Coffee $10 Starbucks Coffee $25 Sweet Tomatoes $10 Wendy's $10
% QTY. SCRIP AMOUNT
6%
$25
6%
$10
12%
$10
$20
10%
$10
4%
$5
4%
$10
6%
$10
4%
$25
5%
$25
8%
$10
$25
5%
$10
6%
$10
6%
$25
11%
$25
6%
$10
6%
$10
7%
$5
15%
$25
7%
$25
3%
$25
7%
$10
6%
$20
5%
$25
7%
$10
7%
$25
7%
$25
5%
$10
$25
8%
$10
3%
$10
FOR PTA USE ONLY Date Received:_____/_____/____
Total Amt.$_____________
(Chk #___________) Chk $_____________ Cash $___________
Order filled by: (1)
(2)
Date Completed: / /
Thank you for your support of the Scrip Program Please make Checks Payable to: LINCOLN PTA
ORDER TOTAL $
Lincon_Scrip_Form_(Side_2_Order)_al030909.xls
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