2010 - 2011 DON LUGO SCRIP E-MAIL ORDER FORM

 

 

Tip
If you shop at Albertsons, be sure you purchase scrip and register your Preferred Savings card. You will earn extra money each time you use your card.
 
If you shop at Vons, be sure you purchase scrip and register your Vons Card with eScrip. You will earn extra money each time you use your card.

 
Scrip E-mail Order Form Instructions
  1. All fields with a red * are required. The form will not be submitted until they are filled in.
  2. In the amount column, enter the dollar amount requested for each item ordered.
  3. To leave a comment or special instructions for your order, use the box at the end of the order form. This is not required, but it is helpful.
  4. When you have finished your order, click the Submit button and your order will be displayed. Print this page for your records. An email will be sent to the Scrip Coordinator for processing. You will be contacted when your order is ready.
  5. To clear contents in the form, press the Reset button and all fields will be cleared.
  6. Questions concerning Scrip orders, contact Brenda Martinovich .
  7. Form updated on Friday, March 5, 2010 .
 
Grocery % Size $Amount
       
Smart & Final 3.0% 25.00
Stater Bros 5.0% 25.00
Stater Bros 5.0% 100.00
Albertsons 4.0% 25.00
Vons 4.0% 25.00
       
Restaurants      
Applebees 8.0% 25.00
Baskins-Robbins 9.0% 2.00
Black Angus 14.0% 20.00
       
Burger King 4.0% 10.00
Carl's Junior 9.0% 10.00
Cheesecake Factory 5.0% 25.00
Chili's 11.0% 25.00
Claim Jumper 8.0% 25.00
Coffee Bean & Tea 9.0% 25.00
Coldstone 8.0% 10.00
Del Taco 4.0% 10.00
Dennys 7.0% 10.00
       
Honeybaked Hams 9.0% 10.00
Islands 8.0% 25.00
Jack in the Box 4.0% 10.00
Kentucky Fried Chicken 9.0% 5.00
Marie Callenders 18.0% 25.00
Mimi's Cafe 8.0% 25.00
Olive Garden/Red Lobster 9.0% 25.00
Outback Steakhouse 5.0% 25.00
Panera 9.0% 10.00
Pick up Stix 12.0% 25.00
Red Robin 9.0% 25.00
Sees Candy 23.0% 15.60
Souplantation 8.0% 10.00
Starbucks 5.0% 10.00
Subway 3.0% 10.00
TGI Fridays 8.0% 25.00
Wendy's 4.0% 10.00
 
 
 
Retail Stores % Size $Amount
       
American Eagle 8.0% 25.00
Barns & Noble 9% 10.00
Bath & Body 13.0% 10.00
Bed, Bath and Beyond 7.0% 25.00
Blockbuster Movie 15.0% 4.00
Blockbuster Video 7.0% 10.00
Borders/Walden Books 9.0% 10.00
Claires 9.0% 10.00
Disney 2.0% 25.00
Fash.Bug/Lane Bryant 3.0% 25.00
Home Depot 3.0% 25.00
Itunes 4.0% 15.00
JCPenny/JCP Uniforms 5.0% 25.00
Joann's 6.0% 20.00
Kohls 4.0% 25.00
Kragen 2.0% 25.00
Longs Drugs 5.0% 25.00
Lowe's 4.0% 25.00
Macy's 10.0% 25.00
Marshalls/TJ Max 7.0% 25.00
Office Max 5.0% 25.00
Old Navy/Gap/Bannanas 9.0% 25.00
Payless Shoe Source 13.0% 20.00
Petsmart 4.0% 25.00
Pier 1 Imports 9.0% 25.00
Pott Barn/Wms Sonoma 8.0% 25.00
Ross Dress for Less 8.0% 25.00
Sears No card payment 4.0% 25.00
Staples 5.0% 25.00
Toys'R'Us/Kids'R'Us 1.5% 20.00
Ulta 4.0% 25.00
Walgreens 2.0% 25.00
Walmart 2.0% 25.00
Walmart 2.0% 100.00
       
Automotive      
Arco 2.0% 50.00
Shell 1.50% 25.00
Exxon/Mobil 1.5% 50.00
Comments or special instructions: