St. Maria Goretti School

 

Scrip Form

 

Remaining deadlines for the 2011-12 school year:

Monday

5/14 (available Thursday)

 

Please set up your online giving profile before ordering SCRIP online.

• Go to https://www.myowngiving.com/Default.aspx?cid=598 to set up your online payment profile.
• When ordering SCRIP online, payment must be made online to process.
• Please date your SCRIP payment the same date as your order.
• When you submit this form, you will be directed to the site to make your payment; your order is not complete until payment has been received. Read details about SMG's online payment site.

 

• Scrip orders are filled every other week; check the schedule for dates when orders are due.
• Scrip is available for sale after Masses the 2nd and 4th weekends of each month.
• The school office has some cards in stock for sale during school hours.

 

Ordering ahead is encouraged to be sure your order is complete at pickup.

Please fill in the information below and submit this form to order your scrip online.
(* indicates required field.)

 

 

*Name:
*Phone:
*Email:
Typing my name in this box indicates my electronic authorization for SMG to release my scrip to the student named below:
Student Name: Grade:
Teacher:
Apply my credit to: School Tuition Home and School Association School families needing assistance Saving for the Future Religious Education Program Youth Ministry Program
Please go to scrip information page for due dates for orders. I would like to pick up my scrip at: School Office After Mass Parish Office

 

BUSINESS	PROFIT	Enter number of cards ordering in each amount					Total $
Grocery Stores
Copps (Roundy's)	4%	25	100
Cub Foods	4%	25	100
Miller and Sons	5%	25	100
Piggly Wiggly	3%	25	50	100
Sentry	3%	10	50
Whole Foods	3%	25	100
Woodman's	5%	50	100
GAS STATIONS	PROFIT	Enter number of cards ordering in each amount
BP	1.5%	50	100
Exxon/Mobil	1.5%	50
Kwik Trip	9%	25	100
PDQ	5%	25	100
Speedway	4%	25	100
RETAIL STORES	PROFIT	Enter number of cards ordering in each amount
American Eagle	10%	25
American TV (allow 1 week)	5%	500
Barnes and Noble	9%	10	25
Bath and Body Works	13%	10	25
Bed Bath and Beyond	7%	25
Best Buy	3%	25	100
Claire's	9%	10
Dick's Sporting Goods	8%	25	100
Gap/Old Navy/Banana Republic	14%	25
Great Clips	8%	25
Home Depot	4%	25	100
JoAnn Fabrics	6%	25
JC Penney	5%	25	100
Kohls Dept Store**	4%	25	100
Lands End (Sears)	16%	25	100
Macy's	10%	25	100
Marshalls/TJ Maxx	7%	25	100
Menards	3%	25	100
Pottery Barn/Wm. Sonoma	8%	25	100
REI	8%	25
Shopko	3%	25	50
SuperCuts	8%	25
Target	2%	25	100
Walgreens	6%	25	100
Walmart/Sam's Club	2%	25	100
**May be used to pay store credit card accounts.
ENTERTAINMENT	PROFIT	Enter number of cards ordering in each amount
Family Video	12%	10
iTunes	5%	15	25
Marcus Theatre	9%	25	100
Ten Pin Alley	20%	10	25
Vitense Golf Land	10%	10	25
BUSINESS	PROFIT	Enter number of cards ordering in each amount
Food/Restaurants
Applebee's	8%	25	50
Babes Restaurant	10%	25
Buffalo Wild Wings	8%	25
Chuck E Cheese	8%	10
Cousins Subs	9%	10
Culvers	10%	10
Chilis	11%	25
Little Caesars	8%	20
McDonalds	5%	10
Noodles and Company	8%	10
Olive Garden/Longhorn Steakhouse	9%	25
Outback Steakhouse	8%	25
Panera Bread	9%	10	25
Pizza Hut	8%	10
Quiznos	10%	10
Red Robin	9%	25
Starbucks	7%	10	25
Subway	3%	10
Victor Allens	10%	10	25
Vintage Brewing Co.	10%	25
Write in your own from glscrip.com						Line 1 Total $:
Another from glscrip.com						Line 2 Total $:
Another from glscrip.com						Line 3 Total $:
Another from glscrip.com						Line 4 Total $:
TOTAL ORDER