SSCD Tuition Reduction Program Order Form

10 25 Burger King 4 3 10 Steak 'n Shake 5 4 10 Burger King - BK Bucks 40 40 1 10 Cheesecake Factory 4 3 25 50 Chuck E. Cheese 7 5 10 Texas Roadhouse 7 5 25 Cold Stone Creamer 7 5 10 TGI Friday's 8 6 25 Cracker Barrel 8 6 10 Wendy's 4 3 10 Dave & Busters 10 7 25 Denny's 6 4 10 5 10 20 Domino's Pizza 4 3 10 Domino's Pizza/Coke 20 14 14 10 20 Restaurants Sub-total 10 25 Grocery Sub-total Fazoli's 5 4 25 Gas Sub-total + Fox's of Punxsutawne 10 10 5 Restaurants Sub-total + 25 Page One Total = (Please record on page four) 50 100 Hard Rock Café 7 5 25 Eat 'n Park 8 6 Local Domino's Pizza 20 20 Dutch Pantry - DuBois 10 10 Starbucks 6 4 Subway 3 2 10 10 Pizza Town 10 10 Neko's 5 5 Kwik-Fill 5 5 Panera Bread 7 5 Pantall Hotel Palumbo Meats in DuBois 3 3 Sheetz 3 3 Luigi's Ristorante - DuBois or Clymer 10 10 Mary's Place Restaurant & Catering 10 10 Giant Eagle 3 2 Martin's Food Store 5 4 10 10 County Market 5 5 Joe's Drive In 5 5 Gold Eagle - Brookville TOTAL YOUR TOTAL YOUR Retail Store % % Cert Ordered Total Due Retail Store % % Cert Ordered Total Due AT&T Prepaid Card 15 10 $9.50 Office Max 4 3 $25 Advance Auto Parts 5 4 25 Old Navy 8 6 25 Order Gap Aeropostale 7 5 25 Overstock.com 6 4 25 25 Payless Shoes 12 8 20 100 Pier One Imports 8 6 25 Amer.<br><br> Eagle Outfitters 7 5 25 25 10 100 25 Radio Shack 4 3 25 Bass Pro Shops 8 6 25 Rite Aid 4 3 25 10 Rocky Mtn Choc. Factory 9 6 10 25 Ross Dress For Less 6 4 25 Bed Bath & Beyond 6 4 25 Sally's Beauty Supply 7 5 25 25 25 100 100 250 250 BonTon 7 5 25 Sephora 4 3 20 Boscov's Dept Store 5 4 25 25 Build-A-Bear Workshop 7 5 25 100 25 Sunglass Hut 8 6 25 100 Talbot's 7 5 25 Claire's 7 5 10 The Children's Place 10 7 25 CVS Pharmacy 2 1 25 25 Dell Computer 3 2 100 100 Dick's Sporting Goods 7 5 25 Toys-R-Us Kids/Bab 1.5 1 20 25 10 100 25 1000 25 Dress Barn 7 5 25 100 Dunham Sports 7 5 25 250 EB Games 3 2 25 25 Order Pottery Barn Express/Express for Men 9 6 25 100 Order Pottery Barn Fashion Bug 5 4 25 Zappos.com 5 4 25 Finish Line 8 6 25 Foot Locker Stores 8 6 25 GNC 7 5 25 Game Stop 3 2 25 Retail Sub-total Gander Mountain 7 5 25 Gap/Gap Kids/Baby Gap 8 6 25 Gymboree 10 7 25 While You Are Traveling % % Cert Ordered Total Due Hallmark 4 3 25 $100 Harry & David 10 7 25 250 25 Carnival Cruises 7 5 100 100 25 500 100 15 50 25 100 J. Crew 10 7 25 50 25 100 100 50 JoAnn Fabrics 5 4 20 100 Kay Jewelers 6 4 50 500 25 BP 2 1 50 100 Exxon/Mobil 1.5 1 50 25 25 50 100 25 Sunoco 1.5 1 50 100 100 25 200 100 25 Limited 8 6 25 50 25 100 100 500 While You Are Traveling Sub-tota 1000 25 100 Retail Sub-total Maurices 6 4 20 While Traveling Sub-total + Michaels Arts & Craft Store 4 3 25 Page Two Total = (Please record on page three) Office Depot 4 3 25 iTunes 3 8 6 2 Lowe's Home Improv.<br><br> 4 3 8 6 Visa 2 Shell 1.5 1 L.L. Bean 12 8 American Express 1.25 1.25 Lands' End 4 3 K Mart 4 3 Hyatt Hotels 7 5 JC Penney 4 3 Marriot Hotels 8 6 7 Comfort Inn 4 3 3 2 Best Western 10 Williams-Sonoma 7 5 American Airlines 8 6 4 Disney 2 1 Waldenbooks/Borders 7 5 Wal-Mart/Sam's Club 2 2 10 7 T.J. Maxx/Marshalls 6 Sears 4 3 Staples 4 3 11 8 Best Buy 3 2 5 Barnes & Noble 8 6 4 3 Pottery Barn 7 Amazon.com Bath & Body Works Cabela's Home Depot Kohl's Dept Store Macys 2 Other Scrip Providers % % Cert Ordered Total Due Alicia's Hair Cottage 10 10 $20 8 9 10 11 Beckysuniquegifts.com 5 5 10 C&A Trees Unlimited 20 20 10 50 Avon by Crysta 10% 100 w/Restrictions 814-952-0929 Expressions by Sherry 15 15 20 Groundhog Auto Parts (NAPA) 5 5 25 Brockway Appliance, Inc 5% on Appliance Purchas Holiday Hair 8 6 25 814-265-1101 10% on Appliance Servic 10 25 Home & Garden Part $300 + show = $10 25 814-952-0929 $500 + show = $20 50 100 Burke & Sons, Inc 5% - Minimum Purchase of $10 500 "The Window Specialists" - see restrictions 1000 814-938-7073 10 25 HPS Tire and Aut 5% - All sales over $20 excludin Miller Brothers Furniture 5 5 25 (939-7660) taxes 25 50 Kuntz Chevrolet-Pontiac-Buic Roseman's Floris 10 10 5 (938-1777) 25 Punxsy & Mahaffe 50 100 The Lil' Nail Shoppe 10 10 20 LaBue Printing, Inc.<br><br> 10% Some restrictions appl 25 (371-5059) 50 100 Lowmaster & Warden, Inc 3% Some restrictions appl 10 (938-7420) 25 100 Miller Brothers Furniture 3% - Restrictions appl Gift Card File 3 (938-0850) Mary Kay Product 15% special thru Holiday Seaso 814-952-0929 Other Scrip Sub-total Please record your totals below: Other Scrip Sub-Total + Page one sub-total Page Three Total = (Please record on page three) Page two sub-total + Page three sub-total + Total due with your order = Make checks payable to SSCD Schoo Office Use Only Do Not Write Below This Lin Check# Check Name Total Ove Short NOTE: ORDERS MUST BE TURNED IN BY 9:00AM MONDAY MORNINGS. YOU MAY TAKE THOSE ORDERS TO THE MEETING ROOM, SCHOOL OFFICE, CHURCH OFFICE OR SEND THEM IN WITH YOUR CHILD. YOU CAN ALSO DROP THEM IN THE COLLECTION BASKET AT MASS.<br><br> Questions? Call 938-4189. The Sage Fox 15 15 Spotts Music Center 5 5 Toy Heaven 10 10 5% - Repairs & Parts before taxes $50 - Vehicle purchase less than $10,000 or $100 - Vehicle purchase more than $10,000 Paul Beatty Jewelers 7 7 Johnston Furniture 5 5 Medicine Shoppe 5 5 CRW Home Center, Inc 10 10 Hometown Pharmacy 5 5 BUSINESS VOUCHER PROGRAM All Washed Up 20 20 The Voucher program is one of the easiest ways to earn tuition credit.<br><br> You do not need to order certificates from the program to earn your credit. Just visit or call one of the businesses listed below and make your purchase, the business will send your rebate to the Scrip office and your account grows automatically. Vendor Restrictions: Comet Market is offering a $25 certificate at 5%, you must spend in LaBue Printing Inc.<br><br> - Items NOT produced In-house do not qu alify full. for the percentage discount savings County Market is issuing credit slips for differences greater Miller Brothers Furniture - Voucher Program 3%, Gift Certificate 5% than $5. for furniture purchases - excludes installation of flooring an window treatments.<br><br> Palumbo Meats - NO Change given, Retail sales only not valid for Wholesale Accounts Burke & Sons, Inc - $100 minimum purchase, discount on merch- andise only, taxes, shipping, etc excluded. Direct purchases Domino's Pizza/Coke - Good for 1 Large, 1-topping Classic Hand only (No purchases through contractors or 3rd parties please). Tossed & 2 liter of Coke Lowmaster & Warden, Inc - $200 minimum purchase, discount on Dutch Pantry - Cannot be used in conjunction with other discounts cash & check purchases only.<br><br> Discount on merchandise only, t axes or used with coupon purchases. Any change over $5 will b not included. issued as another certificate.<br><br> Neko's - No change/Only credit - Not able to use balance for tip. Unless otherwise stated Gift cards are not able to be apply to store charge accounts. Kohl's Department Store - Gift cards may be used at store register CHANGES to pay on charge account.<br><br> Bonus Offers Office Depot - may be used for online orders. Limited to 6 per order. Bath & Body -- 4% thru 12/4 Office Max - limited to one card per online order or catalog orders.<br><br> Gap/Old Navy -- 2% thru 12/18 Bass Pro Shops -- 2% thru 12/25 Sally Beauty Company - Can only use up to 4 cards per transaction. Red Robin -- 2% thru 12/25 Applebees -- 2% thru 12/31 Staples - Cannot be used for catalog or online orders. Cabela's -- 1% thru 12/31 Fashion Bug -- 2% thru 12/31 Talbots may not be used to pay your credit account.<br><br> All Washed Up Auto Spa, Inc - "Washcodes" can not be used in the Brockway location. Expressions by Sherry - No change given, will reissue credit for balance. Medicine Shoppe - No change if greater than $5 difference between purchase and certificate amount.<br><br> Paul Beatty Jewelers - No Change given (Credit Only) If you do not see a business you prefer to do business with please Certificate expires in one year. contact the Program Coordinator and suggest that business. American Airlines - Some restrictions apply go to www.aa.com/gift card Carnival Cruises - Some restrictions apply Comfort Inn - Also accepted at Comfort Suites, Quality, Sleep Inn, Clarion and MainStay Suites locations.<br><br> CRW - To be used on Kitchen & Bath projects only.

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