NOTRE DAME - IN STOCK SCRIP ORDER FORM

ADDITIONAL RETAILERS AVAILABLE ATWWW.GLSCRIP.COM

Cell Phone# Home Phone#

Order Date

Pick up:

Grade

Family Name to Receive Profit

SELLERS FILL THIS OUT

Student Name

Order Total:

Filled By:

Check #

Order Total

GROCERY

Austins (2%)$25

$50

Copps (3%)$25

$100

Festival Foods (2%)$50

$100

Piggly Wiggly (2%)$25

$100

Woodmans (4%)$50

$100

Value Qty # Fill # OrderTotalAUTO / GAS

Vendor

Vendor Value Qty # Fill # OrderTotal

BP Gas (1/2%) $50

Exxon / Mobil Gas (1/2%)

Kwik Trip (9%)

$50

$25

$50

Grand Central Station Shell (9%) $50

$100

$100

$200

$25

Scrip Office

St Francis (after mass)Student Envelope

St Marys (after mass)

Orders placed by 8:30am on Monday are generally delivered the following Wednesday.

Email Questions: nddpscrip@gmail.com(Please do not send orders to email.)

Order Completely Filled

ENTERTAINMENTFamily Video (11%)

Marcus Theatres (8%)

$10

$25

itunes (4%) $15

RESTAURANTSA & W (9%) $5

Arbys (7%) $10

Chipotles (9%) $10

Cousins Subs (8%) $10

Fazolis (6%) $25

Gallaghers (9%) $5

Great Harvest Bread (5%) $10

Greystone Ale House (4%) $20

Dominos (7%) $10

Darden (8%)$25Olive Garden,

Red Lobster, Longhorn Steakhouse

Shell is same as Grand Central Station

Jimmy Johns (4%) $10

Los Banditos (4%) $10

McDonalds (4%) $25

Noodles & Co (7%) $10

Little Caesars (7%) $20

Panera Bread (8%)$10

$25

Pizza Hut (7%) $10

Red Robin (8%) $25

Papa Murphy Pizza (7%) $10

Starbucks (6%)$10

Subway (2%)$10

$50

$25

TOTALS TOTALS

Aeropostale (9%) $25

Amazon (2%) $25

American Eagle (9%) $25

Barnes & Noble (8%)$10

$25

Bath & Body Works (12%)

$10$25$25Cabelas (10%)

$25Dicks Sporting Goods (7%)

Gap $25Old Navy, Banana Republic Athleta Piperline (13%)

Seroogy’s (10%) $25

TJ MAXX (6%) $25

Ulta (3%)

Walgreens (5%)

Williams - Sonoma (7%)

$25

$25

$25

$25

HomeGoods, Marshalls

Chambers, Hold Everything,Pottery Barn, PB Teen, PBKids

Home Depot (3%)$25

$100

Menards (2%)$25

$100

Kohls (4%)

$10$25

$50

$100

Younkers (7%)

$10

$25

$100

Fleet Farm (3%)

$25

$50Shopko (2%)

Target (1%) $25

$25

$100

Walmart / Sams (1.5%)

$100

Value Qty # Fill # OrderTotalVendor

Vendor Value Qty # Fill # OrderTotal

RETAIL

SERVICES

Best Buy (2%) $25

Build a Bear (7%) $25

$10Claires (8%)

$25

Cold Stone Creamery (7%)

Buffalo Wild Wings (7%)

$10

Tony Romas (11%) $25

Taco Bell (4%)

Texas Roadhouse (7%)

Chilis (10%) $25

Ihop (7%) $25

Hinterland Brewery (5%)

$50

$10

Smart Cow (4%) $10

Old Chicago (5%) $25

$25

$25Maplewood Meats (4%)

Value Qty # Fill # OrderTotalVendorIN STOCK UNTIL XMAS ONLY!

Indira Spa (9%) $25$50

LindemansDry Cleaning (7%)

$5$10

Value Qty TotalVendor

All items written below will need to be ordered.When reviewing information from website, please reduce the % listed online by 1%.

NOT STOCKED or GLSCRIP.COM

Local Retailers ListAll items listed below will need to be ordered.

Orders placed by 8:30am on Monday are generally delivered the following Wednesday.Revised Nov 2014 - Subject to change without notice.

MORE RETAILERS AVAILABLE AT: GLSCRIP.COM

Auto Zone (7%) $25Broadway Automotive (7%) $25Marathon Gas (2%) $25 / $100PDQ Car Wash (4%) $15 / $20Speedway / SuperAmerica (3%) $25 / $100

Funset Blvd (8%) $25 / $100itunes (4%) $25

HJ Martin (2%) $100Home Depot (3%) $500

Amazon.com (2%) $100Groupon.com (6%) $25itunes (4%) $25Overstock.com (7%) $25Shutterfly (8%) $25Zappos.com (7%) $25 / $100

Ambrosius Studios (2%) $25 / $50Great Clips (7%) $25Harman’s Studios (6%) $25Instyle Salon & Spa (9%) $25Parmentier Floral (9%) $10Regis Salons Mastercuts, Trade Secret (7%) $25

AUTO / GAS

ENTERTAINMENT

HOME IMPROVEMENT

ONLINE RETAIL

Applebees (7%) $25Bay Family Restaurant (9%) $5Breadsmith Bread Store (4%) $10Buffalo Wild Wings (7%) $25Burger King (3%) $10Cheesecake Factory (4%) $25Chilis (10%) $25Chuck E Cheese (7%) $10Cold Stone Creamery (7%) $10Dairy Queen (2%) $10Dennys (6%) $10Gippers Bar & Grill (9%) $10 Happy Joes Pizza (9%) $5Hinterland Brewery (5%) $50 / $100Ihop (7%) $25Jo to Go (9%) $1KFC (7%) $5Legends (9%) $5 / $10Mackinaws (9%) $20Old Chicago (5%) $25Old Country Buffet (4%) $25Outback Steakhouse (7%) $25Papa Johns (7%) $10Qdoba (6%) $25Smart Cow (4%) $10TGI Fridays (9%) $25Taco Bell (4%) $10Texas Roadhouse (7%) $25The Bar (4%) $20Titletown Brewery (6%) $25Tony Romas (11%) $25Townline Pub & Grill (9%) $25Wendys (3%) $10

RESTAURANTS

Bass Pro Shop (8%) $25Bed Bath & Beyond (6%) $25Best Buy (2%) $25 / $100 / $250Buckle (7%) $25Childrens Place (11%) $25Claires / Icing (8%) $10Crate & Barrel (7%) $25 / $100Dunhams Sports (7%) $25Eddie Bauer (9%) $25Express (9%) $25Finish Line (9%) $25Footlocker (8%) $25 GNC (7%) $25Gamestop (2%) $25Gander Mountain (7%) $25Golf Galaxy (3%) $50Gordmans (6%) $25Gymboree (12%) $25JC Penny (4%) $25 / $100JoAnn Stores (6%) $25LL Bean (15%) $25 / $100Lands End (15 %) $25 / $100Lighthouse Christian Books (4%) $10Limited (8%) $25Macys (9%) $25 / $100Michaels Crafts (3%) $25Office Depot (3%) $25 / $100Office Max (4%) $25 / $100Payless Shoes (12%) $20Pet Smart (3%) $25Pier 1 Imports (8%) $25Sally Beauty (11%) $25Sears (3%) $25 / $100 / $250Talbots (12%) $25Taylor Creek (7%) $25 / $50Thornberry Creek (4%) $10Toy Box (4%) $10 / $25Toys R Us (2%) $20

RETAIL

SERVICES

American Airlines (7%) $100 / $250

Avis Rent A Car (7%) $50Best Western Int (11%) $25 / $100

Budget Car Rental (7%) $50Carnival Cruise Lines (7%) $100Choice Hotels (2%) $50 / $100

Disney (1%) $15 / $25 / $100 / $1000Hyatt Hotels (9%) $50 / $100Marcus Hotels (8%) $25 / $100

Tundra Lodge (9%) $25 / $50

TRAVEL / LODGING

American Eagle, TWA Call 1-800-433-1790Reference Star File N*INCGFT Certi�cate; Limited to 8 cards per transaction

Clarion, Comfort Inn, Comfort Suites, Quality, Sleep Inn

Grand Geneva Resort, Hilton Monoa Terrace, Hotel Mead, P�ster Hotel, Timber Ridge Lodge

www.travelcard.bestwestern.com; group rates: 1-800-528-1231

Maplewood Meats (4%) $25 / $50Bulk Food Store (4%) $10

GROCERY