Make checks payable to: St. Helena Catholic School. NOTES: Page 1 of 1. SCRIP Form 11-20.pdf. SCRIP Form 11-20.pdf. Open
SCRIP Family Order Form
Support St. Helena Catholic School!
Purchase Gift Cards
Don't see what you want? Additional Scrip brands are available. Go to the scrip website, glscrip.com , and order on line (school code:A7C6D57328L53) or contact the school office for more information. Please return this form to the school office to place your order. Visit www.sthelenacatholicschool for more details or contact the school; 963-4677 ¿No puede encontrar lo que quieres? Marcas adicionales de Scrip están disponibles. Ir a la página web de alforja, glscrip.com (school code:A7C6D57328L53), o comuníquese con la oficina de la escuela para más información. Por favor devuelva este formulario a la oficina de la escuela para hacer su pedido. Para más detalles visita www.sthelenacatholicschool.org o póngase en contacto con la escuela al 963-4677. Pre Order PICKUP:
Customer #
Name:
At School______
Address: Phone:
Check #
Product
QTY Total
After mass______
Order Date
Product
QTY Total
Product
QTY Total
Ace Hardware $25.00
$
Lands' End $100.00
$
Rite Aid $25.00
$
Amazon.com $100.00
$
Lands' End $25.00
$
Safeway $100.00
$
Amazon.com $25.00
$
Macy's $100.00
$
Safeway $25.00
$
Applebee's $25.00
$
Macy's $25.00
$
See's Candies $18.00
$
Applebee's $50.00
$
Office Depot $25.00
$
Shell $100.00
$
Bath & Body Wks $25.00
$
Old Navy $100.00
$
Shell $25.00
$
Bed Bath & Beyond $100
$
Old Navy $25.00
$
Starbucks $10.00
$
Bed Bath & Beyond $25
$
Panera Bread $10.00
$
Starbucks $25.00
$
Century Theatres $25.00
$
Panera Bread $25.00
$
SUBWAY $50.00
$
Chevron $100.00
$
Papa John's Pizza $10.00
$
Target $100.00
$
Chevron $50.00
$
Peet's Coffee & Tea $20
$
Target $25.00
$
CVS/pharmacy $25.00
$
PetSmart $25.00
$
The Home Depot $100
$
Eddie Bauer $25.00
$
Pier 1 Imports $25.00
$
The Home Depot $25
$
GameStop $25.00
$
Pottery Barn $100.00
$
Walmart $100.00
$
iTunes® $15.00
$
Pottery Barn $25.00
$
Walmart $25.00
$
iTunes® $25.00
$
Raley's $100.00
$
Whole Foods $100
$
J. Crew $25.00
$
Raley's $25.00
$
Whole Foods $25
$
Jamba Juice $10.00
$
REI $25.00
$
Williams-Sonoma $25
$
PLEASE ALLOW 5-7 DAYS FROM TIME OF ORDERING FOR SPECIAL ORDERS
Total (Both Columns)$_____________
IF YOU DON'T SEE WHAT YOU WANT, ASK BY NAME. WE CAN ORDER FROM HUNDREDS OF STORES! Special orders (name, quantity): ____________________________________,______; total $_________ ____________________________________,______; total $_________ Special order total: $__________ --------------------------------------------------------------------------------------------------------------------------------------------------------------------------Make checks payable to: St. Helena Catholic School NOTES:
