Scrip Order Form
Dunlap Middle School
5200 W Cedar Hills Dr
Dunlap, IL 61525

Name ________________________________________ Date ____________

Phone _____________________ Check #____________ Amount _________
Scrip order turn in dates are: Sept 9 & 22, Oct 6 & 20, Nov 3 & 17, Dec 8

PLEASE MAKE CHECKS PAYABLE TO DMS PTO.

Vendor Name
Profit %
SCRIP $
Quan
Total
Vendor Name
Profit
%
SCRIP $
Quan
Total
Clothing Stores  
American Eagle

8.0

$25              
Casual Male Big & Tall 6.0 $25              
Dress Barn 8.0 $25              
Eddie Bauer 14.0 $25              
Express 13.0 $25              
Fashion Bug/Lane Bryant 6.0 $25              
Gymboree 13.0 $25              
J. Crew 13.0 $25              
J. Jill 8.0 $25              
L.L. Bean 15.0 $25              
Land's End 9.0 $25              
Maurices 7.0 $20     Specialty Stores  
Men's Wearhouse 7.0 $25     1-800-FLOWERS 8.0 $25    
Old Navy/Gap/Banana Rep 9.0 $25     Ace Hardware 4.0 $25    
Talbot's 8.0 $25       4.0 $100    
The Children's Place 12.0 $25     Amazon.com 4.0 $25    
Department Stores Barnes & Noble/B. Dalton 9.0 $10    
Bergners 8.0 $25       9.0 $25    
  8.0 $100     Bass Pro Shops 9.0 $25    
Macy's 10.0 $25     Bath & Body Works 18.0 $10    
Gordmans 7.0 $25       18.0 $25    
Gymboree 13.0 $25     Bed Bath & Beyond 7.0 $25    
JC Penney 6.0 $25     Best Buy 2.0 $25    
K-Mart 4.0 $25     Blockbuster 7.0 $10    
Kohl's 4.8 $25     Blockbuster Video Rental 15.0 $3.79    
Sears 4.0 $25     Borders/ Waldenbooks 10.0 $10    
TJ Maxx/Marshall's 7.0 $25       10.0 $25    
          Cabela's 11.0 $25    
Gas Stations Circuit City 4.0 $25    
BP Gas 2.0 $50     Claire's 9.0 $10    
Marathon 3.0 $100     Crate & Barrel 8.0 $25    
Mobil/Exxon 1.5 $50     CVS 2.0 $25    
Shell 1.5 $25     Dick's Sporting Goods 8.0 $25    
Grocery Stores   Disney Store 2.0 $25    

Cub Foods

2.0 $25     Dunham's Sports 8.0 $25    
Gordon Food Service 4.0 $25     Fannie May 25.0 $10    
Jewel 4.0 $25              
Kroger 5.0 $10     GameStop/EB Games 3.0 $25    
  5.0 $25     Gander Mountain 8.0 $25    
  5.0 $50              
Restaurants           
Applebee's 8.0 $25     Home Depot 3.0 $25    
Arby's 10.0 $10     iTunes 4.0 $15    
Auntie Anne's Pretzels 8.0 $10     JoAnn Fabrics 6.0 $20    
Baskin Robbins 9.0 $2     Kay Jewelers 12.0 $25    
Bob Evans 10.0 $10              
Buffalo Wild Wings 10.0 $25     Lowe's 4.0 $25    
Burger King 4.0 $10     Menard's 3.0 $25    

Carlos O'Kelly's

9.0 $10    

Michael's

4.0 $25    
Cheesecake Factory 5.0 $25  

 

 

Office Max
5.0 $25    
Chevy's Mexican Rest. 8.0 $25     Omaha Steaks 9.0 $25    
Chili's 11.0 $25     Payless Shoesource 13.0 $20    
Chuck E Cheese 8.0 $10     PetsMart 4.0

$25

   
Cold Stone Cremery 8.0 $10     Pier 1 9.0 $25    
Cracker Barrel 9.0 $10     Pottery Barn/Williams Sono 8.0 $25    
Culver's 10.0 $10     Radio Shack 4.0 $25    
Denny's 9.0 $10     Regis Hair Salon 8.0 $25    
Dunkin' Donuts 4.0 $10     Rocky Mountain Choc. 11.0 $10    
Great Harvest Bread 8.0 $10     Sally Beauty Supply 12.0 $25    
Hard Rock Cafe 8.0 $25     Sam's Club/Walmart 2.0 $25    
Joe's Crab Shack 9.0 $25       2.0 $100    
KFC 9.0 $5     Shutterfly.com 14.0 $25    
Longhorn Steakhouse 11.0 $25     Staples 5.0 $25    
Monical's 5.0 $10     Ticketmaster 4.0 $25    
Old Chicago 6.0 $25     Total Access 675 min Phone 17.0 $20    
Old Country Buffet 5.0 $25     Toys R Us 3.0 $20    
Olive Garden/Red Lobster 9.0 $25     Walgreens 2.0 $25    
Panera Bread Co. 9.0 $10      Willow Knolls 14 (Goodrich) 4.0 $10    
Papa Johns 6.0 $10     Travel Options
Pizza Hut 9.0 $10     American Airlines 16.0 $100    
Pizzeria Uno Chicago Bar 17.0 $25     American Airlines 16.0 $250    
Little Caesar's Pizza 9.0 $20     Avis Rent-A-Car 8.0 $50    
Ruby Tuesday's 8.0 $25     Bed & Breakfast.com 10.0 $50    
Starbuck's 7.0 $10     Budget Car Rental 8.0 $50    
Starbuck's  7.0 $25     Carnival Cruises 8.0 $100    
Subway 3.0 $10     Worldwide Hotels   
Texas Roadhouse 8.0 $25     Comfort Inn 4.0 $25    
TGI Fridays 8.0 $25     Hyatt 9.0 $25    
Wendy's 9.0 $10     Marriott 12.0 $50    
            12.0 $100    
         
TOTAL
 
   

Questions can be directed to Krista Hoerr at 243-2378 or 360-0618.