MARIA REGINA’S “SHOPPING CENTS” GIFT CARD ORDER FORM

Name ______Order Date ______Check#______

Phone # ______Email______

Make checks payable to MARIA REGINA SCRIP PROGRAM

Kindly submit this form, with your check, to the school office or Rectory.

Questions? Contact Cindy Laraia @ (516)221-7163 or .

APPARREL & ACCESSORIES
PRODUCT / QTY / TOTAL
Adidas $25
Aeropostale $25
American Eagle $25
Brooks Brothers $25
Casual Male Big & Tall $25
Catherine’s / Lane Bryant $25
Claire’s $10
Crazy 8 $25
Dressbarn $25
Express $25
Finish Line $25
Foot Locker $25
Gap/Old Navy/ Banana Republic $25
Gymboree $25
J. Crew $25
Journeys $25
Land’s End $25
Limited $25
Men’s Warehouse $25
Motherhood $25
Nike $25
Payless Shoes $20
Talbots $25
The Children’s Place $25
TJ Maxx/ Marshall’s/ Home Goods $25
TJ Maxx/ Marshall’s/ Home Goods $100
Under Armour $25
Wet Seal $25
DEPARTMENT STORES
PRODUCT / QTY / TOTAL
Bloomingdale’s $25
Bloomingdale’s $100
Burlington $25
JC Penney $25
JC Penney $100
Kohl’s $25
Kohl’s $100
Lord & Taylor $25
Macy’s $25
Macy’s $100
Sears $25
Sears $100
SPORTING GOODS
PRODUCT QTY TOTAL
Champs Sports $25
Dick’s Sporting Goods $25
Golfsmith $25
Sports Authority $25
Sports Authority $100
DINING – CASUAL
PRODUCT / QTY / TOTAL
Applebee’s $25
Applebee’s $50
Bertucci’s $25
Boston Market $10
Buffalo Wild Wings $25
California Pizza Kitchen $10
Cheesecake Factory $25
Chili’s $25
Chuck E. Cheese $10
Denny’s $10
Hard Rock Café $25
IHOP $25
Old Country Buffet $25
Outback $25
Outback $50
P.F. Chang’s $25
Red Lobster/Olive Garden $25
Restaurant.com $50 Value Card (Cost $20)
Ruby Tuesday’s $25
TGI Friday’s $25
DINING – FINE
PRODUCT / QTY / TOTAL
Legal Sea Foods $25
DINING – ON THE GO
PRODUCT / QTY / TOTAL
Arby’s $10
Burger King $10
Chipotle Mexican Grill $10
Cold Stone Creamery $10
Dairy Queen $10
Domino’s $10
Dunkin’ Donuts $10
Dunkin’ Donuts $25
KFC $5
Panera Bread $10
Panera Bread $25
Papa John’s $10
Pizza Hut $10
Smashburger $10
Starbuck’s $10
Starbuck $25
Taco Bell $10
Wendy’s $10
DISCOUNT STORES
Target $25
Target $100
Walmart $25
Walmart $100
ELECTRONICS & OFFICE
PRODUCT / QTY / TOTAL
Best Buy $25
Best Buy $100
Game Stop $25
Office Max $25
Office Max $100
Radio Shack $25
Staples $25
Staples $100
BOOKS & ENTERTAINMENT
PRODUCT / QTY / TOTAL
AMC Theaters/ Loews Cineplex $25
AMC Theaters/ Loews Cineplex Single Ticket $9.50
Barnes & Noble $10
Barnes & Noble $25
Dave & Buster’s $25
Regal/ United Artist $25
Regal/ United Artist Single Ticket $9.50
Six Flags One Day Admission Ticket $42.25
AUTOMOTIVE
PRODUCT / QTY / TOTAL
Auto Zone $25
Jiffy Lube $30
Pep Boys $20
HOME IMPROVEMENT
PRODUCT / QTY / TOTAL
Ace Hardware $25
Ace Hardware $100
Home Depot $25
Home Depot $100
Lowe’s $25
Lowe’s $100
HOME DÉCOR
PRODUCT / QTY / TOTAL
Bed Bath & Beyond $25
Bed Bath & Beyond $100
Container Store $25
Crate & Barrel $25
Pier 1 $25
Pottery Barn/ William Sonoma $25
HEALTH & BEAUTY
PRODUCT / QTY / TOTAL
Bath & Body Works $10
Bath & Body Works $25
Body Shop $25
CVS pharmacy $25
GNC $25
Harmon Face Values $25
Rite Aid $25
Sally Beauty $25
Sephora $20
ULTA Salons $25
Walgreens $25
ONLINE & MAIL ORDER
PRODUCT / QTY / TOTAL
1-800 Flowers/ Popcorn Factory $25
Amazon.com $25
Amazon.com $100
Groupon.com $25
iTunes $15
iTunes $25
L.L. Bean $25
Omaha Steaks $25
Oriental Trading $25
Overstock.com $25
Shutterfly $25
Zappos.com $25
Zappos.com $100
SERVICES
PRODUCT / QTY / TOTAL
Merry Maids $50
Spa Finder $25
Supercuts $25
SPECIALTY RETAILER
PRODUCT / QTY / TOTAL
A.C. Moore $25
American Girl $25
Build-a-Bear Workshop $25
Christmas Tree Shop $25
Fannie May Candies $10
Guitar Center $25
Hallmark $25
Harry & David $25
Honey Baked Ham $25
Jo Ann Fabrics $25
Kay Jewelry $50
Michael’s $25
Nutrisystem $50
Pet Smart $25
Sunglass Hut $25
Tanger Outlets $25
TRAVEL
PRODUCT / QTY / TOTAL
Avis Car Rental $50
BedandBreakfast.com $50
Best Western $25
Best Western $100
Budget Car Rental $50
Carnival Cruise $100
Celebrity Cruise Lines $100
Comfort Inn (Clarion, Quality, Sleep) $50
Comfort Inn (Clarion, Quality, Sleep) $100
Fairmont Hotels $50
Hyatt Hotels $100
Marriott $100
Royal Caribbean $100
XTRAS
PRODUCT / QTY / TOTAL
All Occasion Gift Card Wrappers- 3 for $1.00
Christmas Gift Card Wrappers -3 for $1.00

SUPERMARKET ORDER

SUPERMARKET / QTY / TOTAL
Best Yet $50
King Kullen $25
King Kullen $100
Shop Rite $25
Shop Rite $100
Stop & Shop $25
Stop & Shop $50
Stop & Shop $100
Uncle Giuseppe’s $50
Waldbaum’s/ Pathmark $25
Waldbaum’s/ Pathmark $50
Waldbaum’s/ Pathmark $100

Total Due (1st page) ______

Total Due (this page) ______

Total Due (both pages) ______

Total # of Cards_____