Scrip Order Form
Wilder-Waite Elementary
12210 N. Pacific St.
Peoria, IL 61615

Name ________________________________________ Date ____________

Phone _____________________ Check #____________ Amount _________
Scrip order turn in dates are: Sept 11, Sept 25, Oct 16, Oct 30, Nov 13, Nov 29, Dec 11
Jan 22, Feb 5, Feb 19, Mar 12, Mar 26, Apr 23, May 7 & May 21

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

8.0

$25     1-800-FLOWERS 8.0 $15    
Eddie Bauer 14.0 $25     Amazon.com 7.0 $25    
Express 13.0 $25     Barnes & Noble/B. Dalton 9.0 $10    
Gap 9.0 $25       9.0 $25    
L.L. Bean 15.0 $25     Bath & Body Works 13.0 $10    
Land's End 9.0 $25       13.0 $25    
Maurices 7.0 $20     Bed Bath & Beyond 7.0 $25    
Men's Wearhouse 7.0 $25     Best Buy 2.0 $25    
Old Navy 9.0 $25     Blockbuster 7.0 $10    
Talbot's 8.0 $25     Borders/ Waldenbooks 8.0 $10    
The Children's Place 12.0 $25     Circuit City 3.0 $50    
Department Stores Claire's 9.0 $10    
Famous-Barr 4.0 $25     Crate & Barrel 8.0 $25    
Gordmans 7.0 $25              
JC Penney 6.0 $25     CVS 2.0 $25    
K-Mart 2.0 $25     Dick's Sporting Goods 8.0 $25    
Kohl's 4.8 $25     Gander Mountain 8.0 $25    
Sears 4.0 $25     GNC 8.0 $25    
Shopko 4.0 $25              
TJ Maxx/Marshall's 7.0 $10     Home Depot 3.0 $25    
  7.0 $25     iTunes 7.0 $15    
Gas Stations JoAnn Fabrics 6.0 $20    
BP Gas 2.0 $50     Lillian Vernon 17.0 $15    
Marathon 3.0 $100     Linens 'n Things 8.0 $25    
Mobil/Exxon 1.5 $50     Lowe's 3.0 $25    
Shell 2.0 $25              
  2.0 $100     Menard's 3.0 $25    
Speedway 4.0 $25       3.0 $100    
Grocery Stores Office Max 5.0 $25    

Cub Foods

2.0 $25     Payless Shoesource 13.0 $20    
Gordon Food Service 4.0 $25     Pier 1 9.0 $25    
Jewel 4.0 $25     Pottery Barn 8.0 $25    
Kroger 5.0 $25     Radio Shack 4.0 $25    
  5.0 $50     Regis Hair Salon 8.0 $25    
Restaurants Rocky Mountain Choc. 11.0 $10    
Applebee's 8.0 $25     Sally Beauty Supply 12.0 $25    
Arby's 10.0 $5     Sam Goody/Suncoast 9.0 $25    
Auntie Anne's Pretzels 8.0 $10     Service Master/Merry Maids 10.0 $50    
Baskin Robbins 9.0 $2  

 

 

Sharper Image 12.0 $50    
Bennigan's 12.0 $25     Shoe Carnival 5.0 $25    
Bob Evans 10.0 $10     Shutterfly.com 9.0 $25    
Burger King 4.0 $5     Sunglass Hut/Watch Station 10.0 $25    

Carlos O'Kelly's

9.0 $10     Toys R Us 3.0 $20    
Chili's 11.0 $20     Walgreens 2.0 $20    
Chuck E Cheese 8.0 $10      Willow Knolls 14 4.0 $25    
Cracker Barrel 9.0 $10     Travel Options
Denny's 9.0 $5     American Airlines 16.0 $25    
          American Airlines 16.0 $100    
Domino Pizza 5.0 $5     Carnival Cruises 8.0 $100    
Great Harvest Bread 8.0 $10     Worldwide Hotels
Joe's Crab Shack 9.0 $25     Hyatt 9.0 $25    
KFC 9.0 $5     Marriott 12.0 $25    
Long John Silvers 9.0 $5              
Monical's 5.0 $5              
Mrs. Field's Cookies 25.0 $5              
Old Chicago 6.0 $25              
Old Country Buffet 5.0 $25              
Olive Garden/Red Lobster 9.0 $25              
Panera Bread Co. 9.0 $10              
Pizza Hut 9.0 $10              
Pizzeria Uno Chicago Bar 17.0 $25              
Pretzel Time 25.0 $10              
Quiznos Subs 8.0 $5              
Ruby Tuesday's 8.0 $25              
Starbuck's 7.0 $10              
Sushi Gawa 15.0 $25              
Texas Roadhouse 8.0 $25              
TGI Fridays 8.0 $20              
Wendy's 9.0 $10    
TOTAL
 
   

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