Scrip Form

Print form, fill out and submit at school.

  

                     Your Name:____________________________ 

Order by Tuesday morning - have your cards on Friday.

Please include a check made payable to BPS for the total amount of your order.

Thanks for supporting this fundraising program and Beach Park School.

 

Outback/Carrabas/Bonefish Grill (4%)                         $25                           How many?     ________

Maggiano's/Chili's (11.5%)                                               $25                                                       ________

P.F. Chang/Pei Wei (7%)                                                     $25                                                       ________

Panera (9%)                                                                           $10                                                      ________

Sweetbay Supermarkets (3%)                                        $50                                                       ________

Starbucks Coffee (7%)                                      $5 / $10/ $25                                                       ________

Payless Shoes (18%)                                                         $10                                                        ________

Burger King (4%)                                                                $10                                                        ________

Bath & Body Works (18%)                                               $25                                                         ________

Home Depot (3%)                                                               $25 / $50 / $100                                  ________

Lowe’s (4%)                                                                         $25 / $50 / $100                                  ________

Michael’s (4%)                                                                    $25                                                         ________

Wal-Mart (2%)                                                                      $25 / $100                                             ________

Best Buy (2%)                                                                     $25 / $100                                             ________

Office Depot (3%)                                                              $25                                                         ________

Dillards (9%)                                                                        $25                                                         ________

CVS Store (2%)                                                                   $25                                                         ________

Barnes & Noble (9%)                                                        $10 / $25                                               ________

Borders (9%)                                                                       $10                                                         ________

Disney (2%)                                                                         $25 / $100                                             ________

Walgreens (3%)                                                                  $25                                                         ________

Wal-Mart (2%)                                                                      $25                                                        ________

iTunes (4.5%)                                                                      $25                                                         ________

Amazon.com (5%)                                                             $25 / $50                                               ________

AMC (Loews)Movies (6.25%)                                          $8.50                                                    ________

Macy’s (10%)                                                                      $25                                                         ________

Olive Garden/Red Lobster/Bahama Breeze (9%)    $10 / $25                                               ________

Marshalls/T J Maxx (7%)                                                  $25                                                         ________

J C Penney (7%)                                                                $25 / $50 / $100                                    ________

Petsmart (4%)                                                                     $25                                                         ________

Land’s End (14%)                                                              $25                                                         ________

Sports Authority (8%)                                                       $25                                                        ________

Claire’s (9%)                                                                       $10                                                         ________

Gap/Old Navy/Banana Repub. (9%)                            $25                                                         ________

Chipotle (10%)                                                                    $10                                                         ________

Aeropostale (8%)                                                               $25                                                        ________

Sunoco / BP /Chevron / Exxon

Marathon / Shell Gas  (circle one) $50 / $100                                                                            ________

  

Total Cards: ____________________                               Total Due:_______________

 12/10/09

 

4200 W. North A Street • Tampa, FL 33609 • Ph: 813-289-3747 • Fax: 813-286-7307