MARIA REGINA’S “SHOPPING CENTS” GIFT CARD ORDER FORM Name ______________________________________Order Date ____________Check#__________ Phone # ________________________ Email_____________________________________________ Make checks payable to MARIA REGINA SCRIP PROGRAM Kindly submit this form, with your check, to the school office or Rectory. Questions? Contact Cindy Laraia @ (516)221-7163 or clar345@hotmail.com. APPARREL & ACCESSORIES PRODUCT QTY Adidas $25 Aeropostale $25 American Eagle $25 Brooks Brothers $25 Casual Male Big & Tall $25 Catherine’s / Lane Bryant $25 Claire’s $10 Crazy 8 $25 Dressbarn $25 Express $25 Finish Line $25 Foot Locker $25 Gap/Old Navy/ Banana Republic $25 Gymboree $25 J. Crew $25 Journeys $25 Land’s End $25 Limited $25 Men’s Warehouse $25 Motherhood $25 Nike $25 Payless Shoes $20 Talbots $25 The Children’s Place $25 TJ Maxx/ Marshall’s/ Home Goods $25 TJ Maxx/ Marshall’s/ Home Goods $100 Under Armour $25 Wet Seal $25 DEPARTMENT STORES PRODUCT QTY Bloomingdale’s $25 Bloomingdale’s $100 Burlington $25 JC Penney $25 JC Penney $100 Kohl’s $25 Kohl’s $100 Lord & Taylor $25 Macy’s $25 Macy’s $100 Sears $25 TOTAL TOTAL Sears $100 SPORTING GOODS PRODUCT QTY TOTAL Champs Sports $25 Dick’s Sporting Goods $25 Golfsmith $25 Sports Authority $25 Sports Authority $100 DINING – CASUAL PRODUCT QTY TOTAL Applebee’s $25 Applebee’s $50 Bertucci’s $25 Boston Market $10 Buffalo Wild Wings $25 California Pizza Kitchen $10 Cheesecake Factory $25 Chili’s $25 Chuck E. Cheese $10 Denny’s $10 Hard Rock Café $25 IHOP $25 Old Country Buffet $25 Outback $25 Outback $50 P.F. Chang’s $25 Red Lobster/Olive Garden $25 Restaurant.com $50 Value Card (Cost $20) Ruby Tuesday’s $25 TGI Friday’s $25 DINING – FINE PRODUCT Legal Sea Foods $25 DINING – ON THE GO PRODUCT Arby’s $10 Burger King $10 Chipotle Mexican Grill $10 Cold Stone Creamery $10 Dairy Queen $10 Domino’s $10 QTY TOTAL QTY TOTAL Dunkin’ Donuts $10 Dunkin’ Donuts $25 KFC $5 Panera Bread $10 Panera Bread $25 Papa John’s $10 Pizza Hut $10 Smashburger $10 Starbuck’s $10 Starbuck $25 Taco Bell $10 Wendy’s $10 DISCOUNT STORES Target $25 Target $100 Walmart $25 Walmart $100 ELECTRONICS & OFFICE PRODUCT QTY Best Buy $25 Best Buy $100 Game Stop $25 Office Max $25 Office Max $100 Radio Shack $25 Staples $25 Staples $100 BOOKS & ENTERTAINMENT PRODUCT QTY AMC Theaters/ Loews Cineplex $25 AMC Theaters/ Loews Cineplex Single Ticket $9.50 Barnes & Noble $10 Barnes & Noble $25 Dave & Buster’s $25 Regal/ United Artist $25 Regal/ United Artist Single Ticket $9.50 Six Flags One Day Admission Ticket $42.25 AUTOMOTIVE PRODUCT QTY Auto Zone $25 Jiffy Lube $30 Pep Boys $20 TOTAL TOTAL TOTAL HOME IMPROVEMENT PRODUCT Ace Hardware $25 Ace Hardware $100 Home Depot $25 Home Depot $100 Lowe’s $25 Lowe’s $100 HOME DÉCOR PRODUCT Bed Bath & Beyond $25 Bed Bath & Beyond $100 Container Store $25 Crate & Barrel $25 Pier 1 $25 Pottery Barn/ William Sonoma $25 HEALTH & BEAUTY PRODUCT Bath & Body Works $10 Bath & Body Works $25 Body Shop $25 CVS pharmacy $25 GNC $25 Harmon Face Values $25 Rite Aid $25 Sally Beauty $25 Sephora $20 ULTA Salons $25 Walgreens $25 ONLINE & MAIL ORDER PRODUCT 1-800 Flowers/ Popcorn Factory $25 Amazon.com $25 Amazon.com $100 Groupon.com $25 iTunes $15 iTunes $25 L.L. Bean $25 Omaha Steaks $25 Oriental Trading $25 Overstock.com $25 Shutterfly $25 Zappos.com $25 Zappos.com $100 SERVICES PRODUCT Merry Maids $50 Spa Finder $25 Supercuts $25 QTY TOTAL QTY TOTAL QTY TOTAL QTY TOTAL SPECIALTY RETAILER PRODUCT A.C. Moore $25 American Girl $25 Build-a-Bear Workshop $25 Christmas Tree Shop $25 Fannie May Candies $10 Guitar Center $25 Hallmark $25 Harry & David $25 Honey Baked Ham $25 Jo Ann Fabrics $25 Kay Jewelry $50 Michael’s $25 Nutrisystem $50 Pet Smart $25 Sunglass Hut $25 Tanger Outlets $25 TRAVEL PRODUCT Avis Car Rental $50 BedandBreakfast.com $50 Best Western $25 Best Western $100 Budget Car Rental $50 Carnival Cruise $100 Celebrity Cruise Lines $100 Comfort Inn (Clarion, Quality, Sleep) $50 Comfort Inn (Clarion, Quality, Sleep) $100 Fairmont Hotels $50 Hyatt Hotels $100 Marriott $100 Royal Caribbean $100 XTRAS PRODUCT All Occasion Gift Card Wrappers- 3 for $1.00 Christmas Gift Card Wrappers -3 for $1.00 QTY QTY TOTAL QTY TOTAL SUPERMARKET ORDER SUPERMARKET Best Yet $50 King Kullen $25 King Kullen $100 Shop Rite $25 Shop Rite $100 Stop & Shop $25 Stop & Shop $50 Stop & Shop $100 Uncle Giuseppe’s $50 Waldbaum’s/ Pathmark $25 Waldbaum’s/ Pathmark $50 Waldbaum’s/ Pathmark $100 QTY QTY TOTAL TOTAL TOTAL Total Due (1st page) _______ Total Due (this page) _______ Total Due (both pages) ______ Total # of Cards_____