Name amazonaws com
Providence Academy Scrip Order Form
Name: _________________________________________________
Increments Available Scrip Amazon $25.00 Cabelas $25.00 Dominos $10.00 Family Restaurant $10.00 Festival Foods $50.00 Festival Foods $100.00 Gander Mountain $25.00 iTunes $15.00 Kohl's $25.00 Kwik Trip $25.00 Kwik Trip $50.00 Kwik Trip $100.00 Marcus Theater $25.00 Menards $25.00 Menards $100.00 Olive Garden $25.00 Panera $10.00 Shopko $25.00 Starbucks $10.00 Starbucks $25.00 Subway $10.00 SWEET SHOP $5.00 Walgreens $25.00 Wal-mart/Sams Club $25.00 Wal-mart/Sams Club $100.00 Woodmans $50.00 Woodmans $100.00 TOTAL AMOUNT DUE:
% Donated # Desired Total Due 3.0% 11.0% 8.0% 15.0% 4.0% 4.0% 6.0% 4.0% 4.0% 5.0% 5.0% 5.0% 9.0% 3.0% 3.0% 9.0% 9.0% 3.0% 6.0% 6.0% 3.0% 15.0% 3.0% 2.5% 2.5% 5.0% 5.0%
Date _____________ Check #: ______________
Make checks payable to Providence Academy Scrip
Scrip 7/19/2016
Name: _________________________________________________
Increments Available Scrip Amazon $25.00 Cabelas $25.00 Dominos $10.00 Family Restaurant $10.00 Festival Foods $50.00 Festival Foods $100.00 Gander Mountain $25.00 iTunes $15.00 Kohl's $25.00 Kwik Trip $25.00 Kwik Trip $50.00 Kwik Trip $100.00 Marcus Theater $25.00 Menards $25.00 Menards $100.00 Olive Garden $25.00 Panera $10.00 Shopko $25.00 Starbucks $10.00 Starbucks $25.00 Subway $10.00 SWEET SHOP $5.00 Walgreens $25.00 Wal-mart/Sams Club $25.00 Wal-mart/Sams Club $100.00 Woodmans $50.00 Woodmans $100.00 TOTAL AMOUNT DUE:
% Donated # Desired Total Due 3.0% 11.0% 8.0% 15.0% 4.0% 4.0% 6.0% 4.0% 4.0% 5.0% 5.0% 5.0% 9.0% 3.0% 3.0% 9.0% 9.0% 3.0% 6.0% 6.0% 3.0% 15.0% 3.0% 2.5% 2.5% 5.0% 5.0%
Date _____________ Check #: ______________
Make checks payable to Providence Academy Scrip
Scrip 7/19/2016
