Send home with student. Self pickup. You will generally get your ... Pick up signature. GROCERY STORES. 25 Carrow's ....
Chaparral Scrip Order
Chaparral Scrip Order
Please make check payable to: CAPA - Chaparral Middle School
Please make check payable to: CAPA - Chaparral Middle School
HANDLE CAREFULLY: Scrip is the same as CASH! Please visit www.chaparralcapa.com for more scrip order forms
HANDLE CAREFULLY: Scrip is the same as CASH! Please visit www.chaparralcapa.com for more scrip order forms
ORDER DUE DAY: EVERY FRIDAY
Important: please read the back of the gift cards / certificate or check merchant's website
Child's Name:
Grade
Advocacy teacher:
for limitations and expiration date, if any.
Staff Order?
For questions, please email:
10% is deducted if there is cash returned.
[email protected]
Contact person and number for questions on this order: Name/number/email:
Date
Order Delivery Method (please check one):
Send home with student
GROCERY STORES 4% $
25 $
2 Vons/Safeway
4% $
25 $
3 Smart & Final
3% $
25 $
4 Stater Bros
5% $
25 $
5 99 Ranch Mkt.
6% $
50 $
6% $
100 $
5% $
20 $
6 H Mart
GAS AND SPECIALTY 7 Bath & Bodywks 8 Barnes & Noble 9 Honeybaked Ham 10 iTunes 11 See's Candies-1b 12 Starbuck's
25 Carrow's
8% $ 10 $
26 Cheesecake Factory
5% $ 25 $
Chilis / On the Border 27 Macaroni Grill
Pick up date
Amount
Pick up signature RETAIL STORES
53 ACE Hardware 54 AMC Theatres
11% $ 25 $
Corner Bakery Cozymel's 28 Chipotle
Check #
Self pickup
You will generally get your order the next Wednesday; however, please allow 1 to 2 weeks for process
1 Albertsons
Cash
10% $ 10 $
55 American Eagle
4% $ 25 $ 8% $ 25 $ 10% $ 25 $
78 Marshall's / TJ Maxx
7% $
25 $
79 Michael's
4% $
25 $
80 Office Depot
4% $
25 $
5% $
25 $
Homegoods
56 Auto Zon
8% $ 25 $
81 Office Max
57 Best Buy
3% $ 25 $
82 Payless Shoes
13% $
20 $
29 Chuck E. Cheese
8% $ 10 $
58 Big 5
8% $ 25 $
83 Pier 1 Imports
9% $
25 $
30 Coco's
8% $ 10 $
59 Build-A Bear
8% $ 25 $
84 Rite Aid
4% $
25 $
31 Cold Stone
8% $ 10 $
60 Burlington Coat Factory
8% $ 25 $
85 Ross
8% $
25 $
2.5% $
25 $
13% $
10 $
32 Del Taco
4% $ 10 $
61 Claire's Boutiques
9% $ 10 $
86 Sam's Club
13% $
25 $
33 Denny's
7% $ 10 $
62 CVS/Pharmacy
6% $ 25 $
87 Sears / Great Indoors
4% $
25 $
9% $
10 $
34 Domino's
8% $ 10 $
63 Dell computer
4% $ 100 $
88 Sports Authority
8% $
25 $
9% $
25 $
35 El Pollo Loco
6% $ 10 $
64 Eddie Bauer
10% $ 25 $
89 Staples
5% $
25 $
12% $
25 $
36 Ihop
8% $ 25 $
65 Edwards / Regal
8% $ 25 $
90 Target
2% $
25 $
5% $
25 $
37 Islands Rest
8% $ 25 $
66 Foot Locker
9% $ 25 $
91 The Children's Place
12% $
25 $
38 Jack in the Box
4% $ 10 $
67 Gap / Banana Republic
14% $ 25 $
92 ToysRus/BabiesRUs
1.5% $
20 $
8% $
25 $
2.5% $
25 $
20% $ 16.90 $ 7% $
10 $
39 KFC
8% $ 5 $
7% $
25 $
40 Mimi's Café
8% $ 25 $
68 Hallmark
4% $ 25 $
13 Exxon/Mobil
1.5% $
50 $
41 Olive Garden / Red Lobster
9% $ 25 $
69 Home Depot
4% $ 25 $
14 Chevron
1.5% $
50 $
42 Outback Steahouse
8% $ 25 $
15 Shell Oil
2.5% $
50 $
43 P.F. Chang's
8% $ 25 $
44 Panera Bread
9% $ 10 $
RESTAURANTS
Old Navy Tri Card
70 J.C. Penney
93 William-Sonoma & 94 Wal Mart
OTHER
4% $ 100 $
95 Amazon.com
4% $
25 $
5% $ 25 $
96 Avis Car Rental
8% $
50 $
5% $ 100 $
97 AT&T 125 Munite
17 Acapulco's / El Torito
8% $
25 $
45 Papa Johns
8% $ 10 $
71 Jiffy Lube
8% $ 30 $
Prepaid Card
18 Applebee's
8% $
25 $
46 Pizza Hut
8% $ 10 $
72 Jo-Ann Fabrics
6% $ 25 $
98 Six Flags 1-Day
19 Arby's
8% $
10 $
47 Red Robin
9% $ 25 $
73 Kids Foot Locker
9% $ 25 $
20 Black Angus
12% $
25 $
48 Souplantation
8% $ 25 $
74 Kmart
4% $ 25 $
21 Buca di Beppo
8% $
25 $
49 Subway
3% $ 10 $
75 Kohl's
4% $ 25 $
22 Burger King
4% $
10 $
50 TGI Friday's
9% $ 25 $
76 Lowes Home Impr.
4% $ 25 $
23 CA Pizza Kitchen
4% $
10 $
51 Wendy's
4% $ 10 $
24 Carl's Jr.
5% $
10 $
52 Yard House Restaurants
8% $ 25 $
20% $ 9.50 $ 8% $
35 $
Admission Ticket 99 Nike *
12% $
25
Please visit www.chaparralcapa.com to download more scrip order forms
4% $ 100 $ 77 Macy's
10% $ 25 $
Total
$
