Scrip order

Scrip Service Center * January 13, 2014 Winter Revision *
Name _________________________
Phone _________________________
Email _________________________
GROCERY
Albertson’s
& Sav On *
____@ $50 =
4%
____@ $100 =
____@ $10 =
____@ $20 =
Fred Meyer / QFC *
____@ $50 =
4%
____@ $100 =
Haggen / Top Foods * 7% ____@ $50 =
4% ____@ $50 =
Lamb’s Markets*
Strohecker’s Market
____@ $100 =
____@ $50 =
New Seasons * 4%
____@ $100 =
____@ $25 =
Safeway *
4%
____@ $50 =
____@ $100 =
Thriftway * 4%
Only for OR
and SW WA
*
Whole Foods Market
R
____@ $25 =
3% ____@ $50 =
RETAIL / DEPARTMENT
5% ____@ $10 =
Bed, Bath, & Beyond *
Bridgeport Village * 4% ____@ $25 =
Personal Gift Card Order Form ~ Winter 2014
Store Discounts Supports Schools and Non-Profits
The Children’s Place* 12% ____@ $25 =
The Limited * 8%
____@ $25 =
Eco Car Wash
Jiffy Lube
AUTOMOTIVE
26%
____@ $6 =
15%
____@ $30 =
14%
____@ $40 =
Olive Garden/Red Lobster * 8% ____@ $10 =
____@ $4 =
Oswego Grill *
Washman Auto Spa
26%
RESTAURANTS
Applebee’s *
8%
Baja Fresh *
8%
____@ $10 =
____@ $10 =
4%
Bellagio’s Pizza *
8%
Big Town Hero
____@ $20 =
Blitz Sports Pub * 8%
99W, Ladd, Pearl and 21st
____@ $10 =
Burger King *
4%
____@ $5 =
Burgerville * 8%
____@ $10 =
____@ $5 =
Carl’s Jr. / Green Burrito * 5% ____@ $10 =
Chevy’s *
8%
____@ $15 =
Chipotle *
9%
____@ $10 =
Davidson’s - Tigard 8% No change
back ____@ $10 =
____@ $10 =
GAP * 12%
Elmer’s Pancake House
JC Penney * 4%
____@ $25 =
____@ $25 =
OR and
WA only
8% ____@ $5 =
Famous Daves BBQ * 12%
Figaro’s Pizza
12%
____@ $25 =
____@ $10 =
Also accepted for
Kohl’s * 4% payment on account
____@ $25 =
Godfather’s Pizza
28%
____@ $13 =
Macy’s * 10%
Marshall’s - TJ Maxx* 6%
____@ $25 =
HoneyBaked Ham
8%
____@ $25 =
____@ $10 =
____@ $20 =
Izzy’s Pizza * 8%
John’s Incredible Pizza Co * 8%____@ $25 =
Home Goods
Nike, Inc. * 12% Employee Store,
Nike Town, Nike Womens, Online, Outlets
Payless Shoe Source*
____@ $50 =
12% ____@ $25 =
R.E.I. * 8% All Stores and Online
____@ $25 =
____@ $25 =
Ross Dress for Less* 8%
Sears- Kmart-Lands End* 4% ____@ $50 =
For retail, online, outlets, automotive, service
8% ____@ $10 =
Oil Can Henry’s*
Domino’s Pizza 12%
Banana Republic ~ Old Navy
GAP KIDS ~ Outlet Stores
Old Spaghetti Factory
____@ $6 =
Columbia Sportswear *
One Card for All
____@ $25 =
26%
____@ $10 =
12%____@ $50 =
Good at outlets, retail, and employee stores.
McMenamins / Ruby’s Spa * 12%
Kaady Car Wash *
Denny’s Restaurant * 5%
All stores, restaurants, theater, kiosks except
Croc Store. Tips deducted, then rebated.
For online purchases.
____@ $10 =
For any Restaurant, Brew Pub,Spa,
Hotel,Theater, Gift Shop, Hair Salon
Med specialty or Lrg 2 topping
Food-Games-Rides-Fun on Hall Blvd.by Wash. Sq.
Kentucky Fried Chicken 7% ____@ $10 =
Landry’s Restaurants * 8% ____@ $25 =
Claim Jumper, Morton’s Steak, Heathman Restaurant
Jake’s Seafood,Harborside,Chart House, Jake’s Grill @
Gov. Hotel, M & S Grill-, MCormick’s & Schnmick’s Fish
House - One card for all
No change back given
8%
____@ $25 =
Outback Steakhouse * 8% ____@ $25 =
____@ $15 =
Panda Express* 8%
____@ $10 =
Panera Bread & Cafe* 8%
OR &
Papa John’s Pizza 10%SW WA ____@ $5 =
Papa Murphy’s Pizza
* 8% ____@ $10 =
8%
____@ $20 =
Pastini Pastaria*
8%
____@ $10 =
Pizza Caboose
Pizzicato Gourmet Pizza 8% ____@ $10 =
Not airport, Bend, or Hood River
No change back given.
OR &
10% SW
WA
7%
Red Robin *
Roundtable Pizza 12%
8%
Ruby Tuesday*
____@ $5 =
____@ $10 =
____@ $10 =
____@ $10 =
8%
____@ $20 =
Shari’s Restaurant
8%
____@ $10 =
Sonic Drive-In*
Stanford’s / Newport Bay* 8% ____@ $25 =
Manzana, Kincaids, Palomino, Henry’s Tavern,
Billy Heartbeats, Newport Seafood Grill, Portland City Grill
Subway *
6%
Sweet Tomatoes * 8%
OR and
Taco Time *10% SW Wash.
No
Tom’s Pancake House 8% change back
Veggie Grill *
9%
____@ $15 =
____@$100 =
____@ $25 =
____@ $15 =
____@ $10 =
____@ $15 =
ENTERTAINMENT
Cinemark - Century Theaters 10%____@$8.50 =
Family Fun Center
* 15% ____@ $25 =
Games, cars, golf
& Bullwinkles
Wilsonville only
arcades, food
Tigard and
Theaters 16% Oak Grove ____@
$10 =
Family
Regal Cinemas
Gift Card* 7% ____@ $15 =
Regal Cinemas
Paper Ticket 10%
Good all hours and for concessions
____@ $9 =
Adult prime time paper movie ticket is less than door price
SPECIALTY STORES
ACE Hardware*
4%
4% ___@ $25 =
____@ $100 =
8%
____@ $25 =
Amazon.com *
RESTAURANTS Cont.
McGrath’s Fish House * 7%
Date__________________________
____@ $25 =
Backyard Bird Shop *
Barnes & Noble B Dalton * 8% ____@ $10 =
Baskin Robbins 8%
OR, WA
ID ,MT
7%
Bath & Body Works *
Best Buy * 2%
Big 5 Sporting Goods * 8%
Build A Bear Workshop* 8%
Coastal Farm & Ranch * 4%
____@ $5 =
____@ $10 =
____@ $50 =
____@ $25 =
____@ $25 =
____@ $25 =
8% ____@ $5 =
Cold Stone Creamery *
____@ $10 =
Craft Warehouse * 8%
8%
____@ $25 =
Dick’s Sporting Goods *
Home Depot *
3%
____@ $50 =
iTunes * 3%
Internet music & more
____@ $25 =
Jamba Juice *
7%
____@ $5 =
Joann Fabrics *
5%
____@ $25 =
Krispy Kreme 45%
1 dozen glazed
Learning Palace * 8%
____@ $9 =
Addtl. discount at store w/ $25 purchase for teachers
Lowe’s * 4%
Michaels Crafts *
Peet’s Coffee * 8%
Petco * 8%
@ $10 =
____@ $50 =
3%
Use Fred Meyer
cards at all FM
Peet’s locations
Pier 1 Imports *
____@ $25 =
____@ $20 =
____@ $25 =
8%
____@ $25 =
Pottery Barn -Willams Sonoma *7% ____@ $25 =
Powell’s Books *
8%
See’s Candy 7%
1 lb. certificate
Actual store retail price is $18.00 lb.
Staples Office Supplies
Starbucks Coffee *
____@ $10 =
____@ $16 =
* 4% ____@ $25 =
____@ $5 =
6%
____@ $10 =
Tully’s Coffee * 10%
Also for kiosks in Fred Meyer and Albertson’s
____@ $25 =
____@ $10 =
TOTAL all columns =
Please make check payable to:
Thank You for your support!
- *Indicates Gift Card
- Call number on back or check
store website for balance
- No card return - order carefully
1/13/14