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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