Name (purchaser)						Student Name
Date						Check Number
Phone Number						SCRIP seller
Company	%Profit	Value	Quanity	Totals		Company	%Profit	Value	Quanity	Totals
Applebees	8%	$25				Marcus Theater	9%	$25
Arby's	8%	$10				Menards	5%	$25
Barnes & Noble	10%	$10				Mills Fleet Farm	5%	$25
Barnes & Noble	10%	$25				Mills Fleet Farm	5%	$50
						Mills Fleet Farm	5%	$100
Bath & Body	18%	$25				Michaels Crafts	4%	$25
Burger King	4%	$10
CashWise	2%	$25				Old Navy/Gap	9%	$25
CashWise	2%	$50				Olive Garden	9%	$25
CashWise	2%	$100				Outback	5%	$25
Chipolte	10%	$10				Pizza Hut	9%	$10
Crafts Direct	15%	$10				Red Lobster	9%	$25
Cub Foods	2%	$25				St. Joe Meats	3%	$10
Cub Foods	2%	$100				Sammy's Pizza	10%	$10
Dominos	5%	$5				Shopko	4%	$25
Home Depot	3%	$25				Shopko	4%	$50
JC Penney's	5%	$25				Subway	3%	$10
JC Penney's	5%	$100				Super America	4%	$25
Kmart	4%	$25				Super America	4%	$100
KFC	9%	$5				Toys R Us	1.5%	$20
Kohl's	4%	$25				Wendy's	4%	$10
Kohl's	4%	$10				Wal-Mart/Sam's	2%	$25
						Wal-Mart/Sam's	2%	$100
							GRAND TOTAL  &_________________
Please credit 50% of the profit to:						Pick up order at:
		St. Joseph School Tuition						Parish Office
		Cathedral/John XXIII						Educare Child Care
		St. Joseph Faith Formation						SACC
		Educare Child Care Fees
		Youth Group Fees
		All to the Parish				There are MORE scrip merchants			è	è
St. Joseph Parish or School is NOT responsible for any lost or stolen money or scrip
			Thank you for using this valuable program!!