Scrip Program Order Form

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Looking for a gift?
Want to support Holy Cross at no extra cost to you?
HCLC is partnering with Scrip to offer gift cards to over 90 different retailers, grocery stores,
and department stores. From ACME to Williams-Sonoma, there is something for music lovers,
motor heads, foodies, crafters, athletes, and more…
How does it work?
For every gift card purchased, a profit goes directly to HCLC
The profit will vary by gift card ranging from 2% to 14%. You pay the value of the gift card
and will not be charged anything extra.
So easy to order!
Fill out the order form on the reverse side, fill in the quantity next to your gift cards and return
the order form with your payment.
Please make checks payable to:
HCLC
Return order form and check in an envelope labeled:
HCLC SCRIP – Patty Rivera
Gift Giving Made Easy for Everyone On Your List:
Mom
Teachers
Dad
Coworkers
Grandma
Cooks & Food Fanatics
Grandpa
Sports Fans
Aunts
Brothers
Uncles
Sisters
Cousins
Mail Carriers
Surprise Guests
Hostess Gifts
Babysitters
Bus Drivers
Coaches
Scout Leaders
“Kids” of All Ages
Pet Sitters
Hair Stylists
Stocking Stuffers
Now is a great time to buy gift cards you’ll need throughout the year, not just during the
holidays.
For more information, questions, or additional order forms, please contact:
Patty Rivera at albapmr@msn.com
Family Order Form
FamilyName
Email
Name of Pick Up Person
Contact Phone Number
Product
Ace Hardware $25.00
%
QTY
Total
4%
$
Product
Dunkin' Donuts $10.00
Acme (DE, MD, NJ and
PA only) $25.00
4%
$
Express $25.00
Aeropostale $25.00
7%
$
Foot Locker $25.00
%
3%
QTY
Total
Product
%
QTY
Total
$
Pottery Barn $25.00
8%
$
10%
$
Red Lobster ®
$25.00
9%
$
9%
$
Red Robin $25.00
9%
$
3%
$
Regal Entertainment
Group $25.00
8%
$
Amazon.com $25.00
3%
$
GameStop $25.00
AMC Theatres $25.00
8%
$
Gap $25.00
14%
$
Rite Aid $25.00
4%
$
10
%
$
Gymboree $25.00
13%
$
Ross Dress for Less
$25.00
8%
$
$
Home Depot $25.00
**5%
$
Ruby Tuesday $25.00
8%
$
$
HomeGoods $25.00
7%
$
Sam's Club $25.00
3%
$
$
IHOP $25.00
American Eagle
Outfitters $25.00
American Girl $25.00
Applebee's $25.00
Babies"R"Us $20.00
9%
10
%
3%
8%
$
Sears $25.00
4%
$
iTunes® $15.00
**10
%
$
ShopRite $25.00
4%
$
$
jcpenney $25.00
5%
$
ShopRite $100.00
4%
$
7%
$
Jo-Ann Fabric and Craft
Stores $25.00
6%
$
12
%
$
Best Buy $25.00
3%
$
Kmart $25.00
4%
$
8%
$
Build-A-Bear Workshop
$25.00
8%
$
Kohl's $25.00
4%
$
Staples $25.00
5%
$
Burger King $10.00
4%
$
L.L.Bean $25.00
16%
$
7%
$
Buy Buy Baby $25.00
7%
$
Lands' End $25.00
16%
$
Starbucks $10.00
Stop & Shop (NOT
TOPS) $25.00
Banana Republic
$25.00
14
%
$
Barnes & Noble
Booksellers $10.00
9%
Bed Bath & Beyond
$25.00
Cheesecake Factory
$25.00
Spafinder Wellness
365 $25.00
Sports Authority
$25.00
4%
$
3%
$
5%
$
Lane Bryant $25.00
8%
$
SUBWAY®
Restaurants $10.00
Children's Place $25.00
12
%
$
Limited $25.00
9%
$
T.J. Maxx $25.00
7%
$
Chipotle Mexican Grill
$10.00
10
%
$
Lowe's $25.00
4%
$
Taco Bell $10.00
5%
$
Christmas Tree Shops
$25.00
7%
$
Macy's $25.00
10%
$
Target $25.00
2%
$
Chuck E. Cheese
$10.00
8%
$
Marshalls $25.00
7%
$
Texas Roadhouse
$25.00
8%
$
9%
$
Michaels $25.00
4%
$
TGI Fridays $25.00
9%
$
8%
$
Old Navy $25.00
14%
$
Toys"R"Us $20.00
3%
$
Coldwater Creek
$25.00
8%
$
Olive Garden ® $25.00
9%
$
ULTA $25.00
4%
$
Cracker Barrel $25.00
9%
$
Oriental Trading
Company $25.00
9%
$
Walgreens $25.00
6%
$
CVS/pharmacy $25.00
6%
$
Outback Steakhouse
$25.00
8%
$
Walmart $25.00
3%
$
Dick's Sporting Goods
$25.00
8%
$
P.F. Chang's China
Bistro $25.00
8%
$
Wawa $25.00
2%
$
Disney $25.00
2%
$
Panera Bread $10.00
9%
$
Wendy's $10.00
4%
$
3%
$
8%
$
Claire's $10.00
Cold Stone Creamery
$10.00
Dressbarn $25.00
8%
$
Payless Shoes $20.00
13%
$
Whole Foods Market
$25.00
DSW (Designer Shoe
Warehouse) $25.00
9%
$
Pier 1 Imports $25.00
9%
$
Williams-Sonoma
$25.00
Checks Payable to: HCLC
Total # of Cards:
Total $ (All Columns):
$
Can’t find a card?
Contact
Patty Rivera
albapmr@msn.com
**Limited time bonus offer. Participating retailers and products are subject to change without notice.
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