8/10/2019 Scrips Order Package 11.12.2014

http://slidepdf.com/reader/full/scrips-order-package-11122014 1/5

 

Help us build new computer l b!

2014 ORDERING SCHEDULE

Perfect for Holiday Gift Shopping!!

PAYMENT & ORDER DUE CARDS DISTRIBUTED

Friday November 14 Friday November 21

Friday November 21 Monday December 1

Friday December 5 Friday December 12

Friday December 12 Friday December 19

Next BRONCO BUCKS  order is DUE this Friday November 14th

 

. Take advantage of gift cards for your

household AND holiday shopping while helping to raise money for our school computer lab! It is FAST,

EASY and has helped to raise hundreds of $$$ for our school already!

Thank you in advance for your support! Independence Elementary PTO

**********************************************************************************************

** Attached Enrollment Form must be completed in conjunction with first order being placed **

BRONCO BUCKS ORDERING

Questions/Contact: Sarah Malys (248-210-8164 /  sarah.malys@53.com ) 

SHOP ON-LINE (PREFERRED METHOD) ** Easiest and Fastest! **

1.  Create your Family Account at www.shopwithscrip.com ( Enrollment Code L89CL61A4LL58

 

)

2. 

Click on Shop in the upper right to view hundreds of gift cards options. For many retailers you may choosebetween a physical gift card (to be distributed approximately one week after order is due) OR a ScripNow  

option which allows for much quicker turnaround and the ability to print out directly from your

computer.

3.  Two options for payment:

1)  Set up PrestoPay  via the website. This process takes 2-3 days to complete, however once your bank

account is verified, you may pay for your order directly on-line. 

OR

2) 

Pay via check payable to “Independence Elementary PTO”. Payment MUST be received by specified

due date on ordering schedule. Please submit in an envelope labeled “Scrips Order” to your child’s

teacher.

*****************************************************************************************If you are unable to shop via the website, you may complete the attached Family Order Form and return with

check payment (payable to “Independence Elementary PTO”) by specified deadline. Please submit in an envelope

labeled “Scrips Order” to your child’s teacher.

*****************************************************************************************

Card Distribution: Physical gift cards will be distributed approximately one week after money is due. Please note if

you would like your card sent home with your child OR held for you in the school office. Attached Waiver of

Responsibility must be signed and returned if you would like the cards sent home with your child.

8/10/2019 Scrips Order Package 11.12.2014

http://slidepdf.com/reader/full/scrips-order-package-11122014 2/5

Product % QTY Total

1-800-Flowers $25.00 12% $

Ace Hardware $25.00 4% $

adidas $25.00 13% $

Aeropostale $25.00 7% $

Amazon.com $25.00 3% $

AMC Theatres $10.00 8% $

American Girl $25.00 9% $

Applebee's $25.00 8% $

Arby's $10.00 8% $

Athleta $25.00 14% $

Babies"R"Us $20.00 3% $

Banana Republic$25.00

14% $

Barnes & Noble $10.00 9% $

Bass Pro Shops $25.00 9% $

Bath & Body Works$10.00

13% $

bd's Mongolian Grill$20.00

8% $

Bed Bath & Beyond$25.00

7% $

Best Buy® $25.00 3% $

Body Shop $25.00 8% $

Bonefish Grill $25.00 8% $

BoRics $25.00 8% $

BP $100.00 1.5% $

BP $50.00 1.5% $

Bravo Cucina Italiana$25.00

12% $

Brio Tuscan Grille$25.00

12% $

Bruegger's Bagels$10.00

7% $

Buca di Beppo $25.00 8% $

Buckle $25.00 8% $

Buffalo Wild Wings$25.00

8% $

Build-A-Bear Workshop$25.00

8% $

Burger King $10.00 4% $

Burlington Coat Factory$25.00

8% $

Cabela's $25.00 11% $

Product % QTY Total

California Pizza Kitchen$10.00

8% $

Caribou Coffee $10.00 6% $

Carrabba's Italian Grill$25.00

8% $

Carson's $25.00 8% $

Cheesecake Factory$25.00

5% $

Cheryl's Cookies $25.00 12% $

Children's Place $25.00 12% $

Chili's Grill & Bar $25.00 11% $

Chipotle Mexican Grill$10.00

10% $

Christmas Tree Shops$25.00

7% $

Chuck E. Cheese$10.00

8% $

Claire's $10.00 9% $

Clarion Hotels $50.00 4% $

Cold Stone Creamery$10.00

8% $

Comfort Inn $50.00 4% $

Country Buffet $25.00 5% $

Cracker Barrel $10.00 9% $

Crate and Barrel $25.00 8% $

Crazy 8 $25.00 13% $

Dairy Queen $10.00 3% $

Dave & Buster's $25.00 13% $

Del Taco $10.00 4% $

Dell Computer $100.00 4% $

Destination Maternity$25.00

8% $

Dick's Sporting Goods$25.00

8% $

Dillard's $25.00 9% $

Disney $25.00 2% $

Domino's Pizza $10.00 8% $

Dunham's Sports$25.00

8% $

Dunkin' Donuts $10.00 3% $

Eddie Bauer $25.00 10% $

Einstein Bros. Bagels$10.00

10% $

Product % QTY Total

Express $25.00 10% $

Exxon $50.00 1% $

Family Video $10.00 12% $

Fleming's PrimeSteakhouse $25.00

8% $

Foot Locker $25.00 9% $

GameStop $25.00 3% $

Gander Mountain$25.00

8% $

Gap $25.00 14% $

GFS Marketplace$25.00

4% $

GNC $25.00 8% $

Golfsmith $25.00 8% $

Great Harvest Bread$10.00

6% $

Groupon.com $25.00 7% $

Guitar Center $25.00 4% $

Gymboree $25.00 13% $

Hallmark $25.00 4% $

Hard Rock Cafe $25.00 10% $

Hardee's $10.00 5% $

HomeGoods $25.00 7% $

Honey Baked Ham$25.00

12% $

iTunes® $15.00 5% $

J. Crew $25.00 13% $

 jcpenney $25.00 5% $

Jo-Ann Fabric and CraftStores $25.00

6% $

Journeys $25.00 10% $

KFC $5.00 8% $

Kmart $25.00 4% $

Kohl's $25.00 4% $

L.L.Bean $25.00 16% $

Lands' End $25.00 16% $

Limited $25.00 9% $

Little Caesar's Pizza$20.00

8% $

Lord & Taylor $25.00 8% $

Lowe's $25.00 4% $

Total Due All Columns:Make Checks Payable To: IndependenceElementaryPTO    $

Family Order Form

Independence Elementary PTOOrderformandcheckpaymentDUEbyFriday11/14/14(pickupby11/21/14).Pleasenoteifyouwouldlikeyourcardsenthome(notechild'snameandteacher)ORheldintheschooloffice.Hundredsmorestores/denominationson-line! 

Created: 11/12/2014 9:45:22 AM

Name Customer #

Order DateCheck #

8/10/2019 Scrips Order Package 11.12.2014

http://slidepdf.com/reader/full/scrips-order-package-11122014 3/5

Product % QTY Total

Maggiano's Little Italy$25.00

11% $

Marathon $25.00 3% $

Marshalls $25.00 7% $

Mason Street Grill$25.00

9% $

McCormick & Schmick's$25.00

9% $

Meijer (not AK and HI)$25.00

3% $

Michaels $25.00 4% $

Mobil $50.00 1% $

Morton's Steakhouse$25.00

9% $

Motherhood Maternity$25.00

8% $

Muer Seafood $25.00 9% $

Nike $25.00 12% $

Noodles & Company$10.00

8% $

Office Depot $25.00 4% $

Office Max $25.00 5% $

Old Navy $25.00 14% $

Olive Garden ® $25.00 9% $

On The Border $25.00 11% $

Oriental TradingCompany $25.00

9% $

Outback Steakhouse$25.00

8% $

Overstock.com $25.00 8% $

P.F. Chang's ChinaBistro $25.00

8% $

Panera Bread $10.00 9% $

Papa John's Pizza$10.00

8% $

Payless Shoes $20.00 13% $

Pei Wei Asian Diner$25.00 8% $

PetSmart $25.00 4% $

Pier 1 Imports $25.00 9% $

Piperlime $25.00 14% $

Pizza Hut (Not AK or HI)$10.00

8% $

Pizzeria Uno $25.00 12% $

Plum Market $50.00 3% $

Product % QTY Total

Pottery Barn $25.00 8% $

Qdoba Mexican Grill$25.00

7% $

Red Lobster ® $25.00 9% $

Red Robin $25.00 9% $

Restaurant.com $20.00 50% $

Restoration Hardware$25.00

12% $

Rite Aid $25.00 4% $

Ruby Tuesday $25.00 8% $

Sally Beauty Supply$25.00

12% $

Sam's Club $25.00 2.5% $

Sears $25.00 4% $

Sephora $20.00 5% $

Shell $25.00 2.5% $

Shutterfly $25.00 9% $

Speedway $25.00 4% $

Sports Authority $25.00 8% $

Staples $25.00 5% $

Star Theatres $25.00 8% $

Starbucks $10.00 7% $

Steak 'n Shake $10.00 8% $

Stein Mart $25.00 7% $

SUBWAY® Restaurants$10.00

3% $

Sunglass Hut $25.00 12% $

Sunoco $50.00 1.5% $

T.J.Maxx/Marshalls/HomeGoods $100.00

7% $

Taco Bell $10.00 5% $

Tanger Outlets $25.00 8% $

Target $25.00 2.5% $

TGI Fridays $25.00 9% $

The Home Depot$25.00

4% $

Tim Hortons $10.00 5% $

Toys"R"Us $20.00 3% $

ULTA $25.00 4% $

Product % QTY Total

Under Armour $25.00 11% $

Uno Pizzeria & Grill$25.00

12% $

Walgreens $25.00 6% $

Walmart $25.00 2.5% $

Wendy's $10.00 4% $

West Elm $25.00 8% $

Wet Seal $25.00 5% $

Whole Foods Market$25.00

3% $

Williams-Sonoma$25.00

8% $

Younkers $25.00 8% $

Zappos.com $25.00 8% $

Total Due All Columns:Make Checks Payable To: IndependenceElementaryPTO    $

Family Order Form

Independence Elementary PTOOrderformandcheckpaymentDUEbyFriday11/14/14(pickupby11/21/14).Pleasenoteifyouwouldlikeyourcardsenthome(notechild'snameandteacher)ORheldintheschooloffice.Hundredsmorestores/denominationson-line! 

Created: 11/12/2014 9:45:22 AM

Name Customer #

Order DateCheck #

8/10/2019 Scrips Order Package 11.12.2014

http://slidepdf.com/reader/full/scrips-order-package-11122014 4/5

Enrollment Form

Independence Elementary PTO Scrips Program (“Bronco Bucks”)

PROGRAM RULES AND GUIDELINES: Please read carefully before completing the form.

** Must be completed and returned to Bronco Bucks Coordinator in conjunction with first order **

1.  All orders must be accompanied by cash, check or money order made payable to Independence Elementary

PTO. Scrip purchases are not tax deductible because you receive dollar of dollar value.

2.  If your check is returned because of non-sufficient funds (NSF) you will be charged a $30 fee payable to

Independence Elementary PTO. After 2 NSF checks are tendered on your account, your scrip privileges will be limited

to cash or money order only.

3.  Scrip certificates are purchased on your behalf and are not returnable.

4.  When you receive your certificates, open your order and verify its accuracy. In the unlikely event you should

find a discrepancy in your order, please contact one of the scrip coordinators immediately.

5.  Scrip certificates are the same as cash and should be handled accordingly. Independence Elementary PTO will

not be responsible for certificates that are lost, stolen or misplaced once given to your child.

6.  You must sign the Waiver of Responsibility section of this form before certificates will be released to your

child. Independence Elementary PTO accepts no responsibility for certificates delivered in this manner. Otherwise,

your certificates may be picked up in the school office.

Name (first and last): _______________________________

Address: ____________________________________________

Phone Number: _______________(home) _______________(cell)

Email Address: _____________________

I have read and understand the policies and guidelines listed above, and I agree to abide by these policies.

Signature ______________________________ 

Date  _______________

8/10/2019 Scrips Order Package 11.12.2014

http://slidepdf.com/reader/full/scrips-order-package-11122014 5/5

Waiver of Responsibility

The following waiver of responsibility will allow us to send your SCRIP order home with your child. Please complete the

waiver form if you elect this option and return it to school. If you do NOT have a waiver on file, your SCRIP order can be

 picked up in the school office.

WAIVER OF RESPONSIBILITY 

I hereby grant my permission for the Independence Elementary PTO to send my order of SCRIP certificates home with

my child_________________________ in _________________’s classroom. I understand that I accept full

responsibility for the certificates and that the Independence Elementary PTO, Independence Elementary School and

the Clarkston School District have NO responsibility for the certificates once they are delivered to my child. This

permission shall remain in effect for the 2014-2015 school year or until I provide written notice to rescind it.

Print name:_________________________________________

Address:____________________________________________

Home phone:______________________Work phone:___________________

Signature:________________________________Date:____________________