Scrip Form

Attention Parents...WE NOW HAVE WALMART SCRIP AVAILABLE IN THE OFFICE ALSO!

T.R.I.P. PROGRAM

TEMPLE CHRISTIAN SCHOOL

2305 7^TH Ave. Moline IL   61265

Phone: (309) 764-1302 Fax: (309) 764-0931

SCRIP CERTIFICATE ORDER FORM

ACCOUNT NUMBER ___________                         DATE ____________________

NAME: _____________________________DAY TIME PHONE:______________________

SCRIP CERTIFICATE/CARD PICK UP (check one)

_____   Send scrip home with: ________________________ Grade: ______________

               I, ____________________, release the school and scrip coordinator of any responsibility in sending this scrip          (sign name)    order home with this student.

            Student signature ______________________________ at the time of receiving scrip.

_____   I will pick up my scrip at the school office.

_____   Please deliver scrip in pick up line.

_____   Please mail my scrip order. Send self addressed, stamped envelope along with your order. Sign by “X” .

             *remember when making your choice of pick up that scrip is the same as cash.

X ________________________________________________________ signature at the time of pick up

PLEASE CREDIT TUITION ACCOUNT:________________________Acct. # __________________

                                                            (The family or student’s account you want credited)

TOTAL SCRIP ORDERED $________________________            CHECK NUMBER ____________________

All payments must be included with your order. Make checks payable to Temple Christian School. Order must be in the office by 9:00 am Monday to be ordered on Monday and ready for delivery of the same week. Orders will be processed weekly and any adjustments for delivery date due to days off school or other reason will be printed in the Parents Page. The percentages shown below are current as of this printing, but are subject to change. The following list is scrip through the GREAT LAKES SCRIP CENTER. Your SCRIP coordinator is Barb Bourell, school phone number (309) 764-1302

·         JC PENNEY & KOHL’S Credit card accounts can be paid in person with their scrip certificates

·         Menards and Lowes scrip cannot be used with contractors discount.

·         Contact Barb Bourell, (309) 764-1302 for restrictions on airline and hotel scrip.

NOTE: Tuition earned each semester will be applied to the next semester or the first monthly payment in the following semester. Those paying for the full year will receive credit in May for tuition the following school year.

Retailer

Value

Quantity

Retail Stores

Circle

Amazon.com 4%

$25

American Eagle 8%

$25

B Dalton

Barnes & Noble 9%

$10/$25

Bath & Body Works 13%

$10/$25

Bed, Bath & Beyond

7%

$25

Best Buy 2%

$25/$100

Blockbuster Gift Card   7%

$10

Borders 9%

$10/$25

Brueggers Bagels 5%

$10

Build A Bear 8%

$25

CVS Pharmacy 2%

$25/$200

Casual Corner   19%

$25

Claires   9%

$10

Closet (Maurices) 7%

$20

Dicks Sporting Goods 5%

$25

Dillards – 9%

$25

Dress Barn – 8%

$25

Eddie Bauer – 9%

$25

Express   13%

$25

Family Christian Stores 9%

$25

Footlocker   9%

$10

Gander Mountain 8%

$25

Gap   9%

$25

GNC   8%

$25

Gordmans   7%

$25

Hickory Farms– 15%

$10

Home Depot 3%

$25/$100

Icing (Claires) 9%

$10

JC Penney 5%

$25/$100

Jo Ann Fabrics 6%

$20

K-Mart   2%

$25/$50

Lands End 9%

$25

Lowes    4%

$25/$100

Marshalls 7%

$10/$25

Master Cuts 8%

$25

Maurices 7%

$20

Menards 3%

$25/$100

Motherhood Maternity   6%

$25

Musicland

(Sam Goody) 9%

$10

Office Max 5%

$25

Old Navy 9%

$25

Payless Shoes 13%

$20

Pier One Imports 9%

$25

Radio Shack   4%

$25

Regis Salons 8%

$25

Sears   4%

$25/$100

$250

Shoe Carnival   5%

$25

Shopko   4%

$25/$50

Staples   5%

$25

Steve & Barry’s 8%

$25

Sunglass Hut 12%

$25

Talbots Clothing 11%

$25

TJ Maxx 7%

$10/$25

Toys R Us 1.5%

$20

Trade Secret 8%

$25

Walden Books 9%

$10/$25

Walgreens   2%

$25

Wal Mart 2%

$25/$100

Younkers 8%

$25/$100

Restuarants

Arbys   10%

$10

Applebee’s 8%

$25

Bennigans   13%

$25

Burger King 4%

$10

Carlos OKelly 9%

$10

Chili’s 11%

$25

Chuck E. Cheese 8%

$10

Cracker Barrel 9%

$10

Denny’s   7%

$10

Dominos’ Pizza 5%

$5

Fazoli’s Restaurant

7%

$25

Golden Corral 3%

$25

KFC    9%

$5

O’Charley’s     13%

$25

Olive Garden Use Red Lobster   9%

$25

Outback Steak House 4%

$25

Panera Bread 9%

$10

Papa Johns 6%

$10

Pizza Hut 9%

$10

Qdoba   7%

$25

Red Lobster 9%

$25

Red Robin 9%

$10

Ruby Tuesdays 8%

$25

Ryans Steak House 7%

$5

Texas Road House   8%

$25

TGI Friday’s 8%

$25

Wendys 4%

$10

Other Providers

AT & T Prepaid

120 Min.   20%

$9.50

Lodging & Travel

American Airlines Also American Eagle TWA LLC 8%

$50

Carnival Cruises 8%

$100

Courtyard 12%

(Marriott)

$25/$100

Fairfield Inn 12%

(Marriott)

$25/$100

Marriott – 12%

Also includes:

Renaissance, Residence Inn, Spring Hill Suites, Towne Place Suites

$25/$100

Hyatt Hotels 9%

$25

Best Western International 12%

$25

Grocery

Jewel/Osco 4%

25

Gas Stations

BP Gas   2%

$50

Exxon 1.5%

$50

Circle K 2%

$25

Mobil (Exxon) 1.5%

$50

Shell   1.5%

$25/$100

Non Great Lakes Scrip

Eternal Memories 10% Scrap Booking

$5/$25

Family Video 15%

$5/$10/$20

K & K Hardware 5%

$10/$25/

$50

Kohls 5%

$10/$25/

$50

Taylor Improvements

2% - See Barb