St. Clare Scrip Order Form

NAME:________________________________DATE:____________________

DELIVER VIA BACKPACK TO :_________________________ GRADE:_____

(CHILD’S NAME)

PICK UP IN THE SCHOOL OFFICE ORDER TOTAL$:____________

MERCHANT	PROFIT %	$	QTY	TOTAL $	MERCHANT	PROFIT %	$	QTY	TOTAL $
GROCERY					RESTAURANTS
					BASKIN ROBBINS	8%	$2
FRED MEYER	5%	$25			BAJA FRESH	8%	$10
FRED MEYER	5%	$50			BURGER KING	6%	$5
FRED MEYER	5%	$100			JAMBA JUICE	8%	$5
FRED MEYER	5%	$200			RED ROBIN	8%	$10
SAFEWAY	2%-4%	FREE	Sign up	at escrip!!!!	BURGERVILLE	8%	$10
SAFEWAY	3%	$50			MACARONI GRILL/CHILI’S	8%	$10
ALBERTSONS	2-3%	FREE	sign up	Albertsons. com	OLIVE GARDEN/RED LOBSTER	8%	$10
NEW SEASONS	5%	$50			MCMENAMINS	15%	$10
NEW SEASONS	5%	$100			OLD SPAGETTI FACTORY	8%	$10
THRIFTWAY	4%	$10			PIZZICATO	8%	$10
THRIFTWAY	4%	$25			TILLAMOOK/BIG RED”S/YAMHILL GRILL	8%	$10
WILD OATS	7%	$50			STARBUCKS	7%