Trinity Lutheran Church and School

Scrip Cash & Carry Form

Name ______Date ______Phone # ______Amount $______

Payment ______Check (Make checks payable to Trinity Lutheran Scrip ____ Cash Updated 6/13/17

LOCAL BUSINESSES / $ / % / Qty / Total
Abele’s – in season / $20 / 10%
Bronners / $10, $25 / 10%
Dunn Hardware / $25, $50 / 5%
Fritz’s Family Restaurant / $10 / 5%

Papio’s

/ $10, $25 and $50 / 15%
Pompei / $10 / 5%
Rocket Bar & Grill / $10 & $25 / 5%
Trackside / $20 / 5%
Dept. & discount Stores / $ / % / Qty / Total
JCPenney Cash Card
$100 by order only / $25 / 5%
$100
Kohl’s “Cares for Kids”
(Can be used to pay charge balance) / $10 / 5%
$25
$50
Target / $25 / 2½
%
Amazon $25 and $100 ( $10 when available) / $25,$100 / 2 ½%
Wal-Mart / Sam’s Club
( $10 when available) / $25, $100 / 3%
Meijers ($10 when available,$50 by order only) / $10,$25 &$100 / 3%

A

Dining – Fine to Fast Food / $ / % / Qty / Total
Applebees / $25 / 8%
Arby’s / $10 / 8%
Bob Evans / $10 / 10%
Buffafo Wild Wings $10 by order only / $25 / 8%
Burger King / $10 / 4%
Chili’s / Macaroni Grill / / $25 / 11%
Cracker Barrel / $10,$25 / 8%
Logans Roadhouse / $25 / 10%
Outback / Carrabba’s $50 by order only / $25 / 8%
Panera Bread $25 by order / $10 / 8%
Pizza Hut / $10 / 8%
Red Lobster / Olive Garden / Bahama Breeze / Smokey Bones / $25 / 8%
Subway $50 by order / $10 / 6%
Taco Bell / $10 / 5%
Tim Horton/s / $10 / 5%
Wendy’s / $10 / 4%
Electronics & Office / $ / % / Qty / Total
Best Buy 100 & 250 by order / $25 / 4%
Gas & Auto / $ / % / Qty / Total
Speedway
$100 by order only / $25 / 4%
$100
Grocery / $ / % / Qty / Total
GFS Marketplace
$100 cards by order only / $25 / 4%
$100
Home Improvements / $ / % / Qty / Total
Home Depot - $100 &
$500 cards by order only / $25 / 4%
Lowe’s Gift Card - $100,
$500 & $1000 by order only / $25 / 4%
Menards Home Center
$100 & $500 by order only / $25
$50 / 3%
CLOTHING/specialty / $ / % / Qty / Total
Barnes & Noble $25 & $100 by order only ($5 when avail.) / $5 & $10 / 9%
Bath & Body Works / $10,$25 / 13%
Bed, Bath & Beyond / $25 / 7%
I Tunes-$25 by order only / $15 / 5%
Jo-Ann Fabrics / $25 / 6%
Rite Aid / $25 / 4%
Toys R Us/Babies R Us / $20 / 3%
Sporting Goods / $ / % / Qty / Total
Cabelas ($100 by order) / $25 / 11%
Extra Stuff / $ / % / Qty / Total
Cascading Card File / $3 / 25%
TOTAL THIS PAGE
TOTAL BACK PAGE

Retailers on back side of this sheet are available on an

ORDER ONLY basis.

The retailers below are available on an ORDER ONLY basis. For complete list, see red folder, or go to www.glscrip.com and click on Retailer list.

ORDER EXTRAS HERE / $ / % / Qty / Total
Ace Hardware / $25 / 4%
$100
Aeropostale / $25 / 10%
American Eagle / $25 / 10%
American Girl / $25,$100 / 9%
Avis Car Rental / $50 / 8%
Bass Pro Shops / $25 / 9%
$100
Best Western International / $25 / 12%
$100
BP Gas Cards / $50 / 1 ½%
Budget Car Rental / $50 / 8%
Build-A-Bear Workshop / $25 / 8%
Burlington Coat Factory / $25 / 8%
The Children’s Place / $25 / 12%
Chuck E Cheese / $10 / 8%
Claire’s / $10 / 9%
Cold Stone Creamery / $10 / 8%
Comfort Inn / Clarion /
Quality Inn / Sleep Inn / $50 / 3%
$100
Crate & Barrel – Also $100 / $25 / 8%
CVS Pharmacy / $25 / 6%
Denny’s Restaurants / $10 / 7%
Dick’s Sporting Goods – Also $100 / $25 / 8%
Domino’s Pizza / $10 / 8%
Dress Barn / $25 / 8%
Dunham Sports / $25 / 8%
Footlocker / Lady FL / Kid’s FL / $25 / 8%
Hallmark / $25 / 4%
Harry & David / $50 / 12%
Jiffy Lube / $30 / 8%
L. L. Bean (can use on-line) / $25 / 16%
$100
Land’s End (Sears & K-Mart) / $25 / 16%
$100
Long John Silvers / $10 / 8%
Macy’s / $25 & $100 / 10%
Marshall’s / $25,$100 / 7%
Marathan Gas Card / $25, 100 / 3%
Michaels / $25 / 4%
Men’s Wearhouse / $25 / 8%
Office Max/Office Depot / $25 / 5%
Old Navy/Gap / $25 / 14%
Panda Express / $25 / 8%
Payless Shoe Store / $20 / 13%
Peebles / $25 / 8%
Pier 1 Imports / $25 / 9%
Pottery Barn / PBTeen / PBKids / $25 / 8%
$100
Rainforest Café / $25 / 9%
Ruby Tuesday / $25 / 8%
Shell Gas $25, $50 & $100 / $25 / 2%
Shoe Carnival / $25 / 5%
Stqples $100 also available / $25 / 5%
Starbucks / $10 & $25 / 7%
T.J.Maxx / Marshalls / HomeGoods / A.J.Wright
$100
Uno’s / $25 / 12%
VG’s Grocerries / $25,$100 / 2%
Walgreen’s / $25 / 6%
$100
Younker’s / $25
$100 / 8%
TOTAL THIS PAGE