Queen of  All Saints SCRIP Order Form

revised 4/17/08

Easy Instructions:

1.  Complete the order form.

Other Retailers

2.  Attach a check made payable to Queen of All Saints, pay with cash, or attach a QAS gift certificate.

For a list of other retailers

3.  Place the order in an envelope and:

that are available, go to:

a.  Send the order to school through your child's folder, or

www.glscrip.com  and

b.  Purchase Scrip at the rectory, or

click on the 'Retailers' link.

c.  Purchase at the SCRIP table after any weekend Mass.

NOTE:  Certificates marked with a "**" indicate they are in stock.

All other certificates are ordered on Monday and are available by Friday of that week.

Questions?  Call Pam or Roger Luchtefeld at 314-846-7196, or e-mail us at pamroger@sbcglobal.net

Retail  Stores

Den.

QTY

Total $

Retail  Stores

Den.

QTY

Total $

Retail  Stores

Den.

QTY

Total $

G

AT&T PrePaid Card (120  min.)-20%

$  9.5

G

Express-13%

$      25

G

Marshall's-7%

$        25

G

Advance Auto Parts - 7%

$   25

G

Fashion Bug-6%

$      25

G

Maurices-7%

$        20

G

Amazon.com-4%

$   25

G

Finish Line-10%

$      25

G

Men's Warehouse-8%

$        25

G

American Eagle Outfitters-9%

$   25

G

Footlocker-9%

$      25

G

Michaels Crafts-4%

$        25

G

B. Dalton Bookstores-9%

$   10

G

Gamestop**-3%

$      25

G

Motherhood Maternity-6%

$        25

G

Banana Republic-9%

$   25

G

Gap/Gap Kids/Baby Gap-9%

$      25

G

Nine West-8%

$        25

G

Barnes & Noble Bookstores-9%

$   10

G

GNC-8%

$      25

G

Office Depot-4%

$        25

G

Barnes & Noble Bookstores-9%

$   25

G

Gordman's-7%

$      25

G

Office Max-5%

$        25

G

Bass Pro Shop**9%

$   25

G

Gymboree-13%

$      25

G

Old Navy-9%

$        25

G

Bath & Body Works**-13%

$   10

G

Harry & David-10%

$      25

G

Omaha Steaks-9%

$        25

G

Bath & Body Works-13%

$   25

G

Hickory Farms-15%

$      10

G

Payless Shoes-13%

$        20

G

Bed Bath & Beyond**-7%

$   25

G

Home Depot **-3%

$      25

G

Pier One Imports-9%

$        25

G

Best Buy**-2%

$10

G

Home Depot**-3%

$    100

G

Pottery Barn-8%

$        25

G

Best Buy**-2%

$   25

G

iTunes**-4%

$      15

G

Radio Shack-4%

$        25

G

Best Buy-2%

$ 100

G

J. Crew-13%

$      25

G

Regis Salons-8%

$        25

G

Borders/Waldenbooks**-9%

$   10

G

JC Penney **-5%

$      25

G

Sally Beauty Supply-12%

$        25

G

Borders/Waldenbooks**-9%

$   25

G

JC Penney **-5%

$    100

G

Sears-4%

$        25

G

Brookstone-12%

$   25

G

JoAnn's Fabrics-6%

$      20

G

Sears -4%

$      100

G

Build-A-Bear**-8%

$   25

G

K Mart-4%

$      25

G

Shoe Carnival-5%

$        25

G

Cabela's-11%

$   25

G

Kay Jewelers-12%

$      25

G

Shutterfly.com-9%

$        25

G

Casual Male-6%

$   25

G

Kohl's**-5%

$      10

G

Sports Authority-8%

$        25

G

Champs-9%

$   25

G

Kohl's**-5%

$      25

G

Sunglass Hut-12%

$        25

G

Circuit City-3%

$   25

G

Kohl's**-5%

$    100

G

Talbots-11%

$        25

G

Circuit City-3%

$ 100

G

LL Bean-15%

$      25

G

The Children's Place-12%

$        25

G

Claire's-9%

$   10

G

Land's End-9%

$      25

G

T.J. Maxx-7%

$        10

G

Crate & Barrel-8%

$   25

G

Limited-9%

$      25

G

T.J. Maxx-7%

$        25

G

Dick's Sporting Goods-5%

$   25

G

Lowe's**-4%

$      25

G

Toys-R-Us**-1.5%

$        20

G

Dillard's-9%

$   25

G

Lowe's**-4%

$    100

G

Walgreens**-2%

$        20

G

Dillard's-9%

$100

G

Macy's-10%

$      25

G

Wal-Mart/SamsClub**-2%

$        25

G

Disney-2%-$25 & $100 & $1000

$   25

G

Macy's-10%

$    100

G

Wal-Mart/SamsClub**-2%

$      100

G

Dress Barn-8%

$   25

G

Marshall's-7%

$      25

G

White Barn Candle-13%

$        25

G

Eddie Bauer-9%

$   25

G

Williams-Sonoma-8%

$        25

Subtotal 1

Subtotal 2

Subtotal 3

Restaurants

Den.

QTY

Total $

Restaurants

Den.

QTY

Total $

Gasoline/Oil Change

Den.

QTY

Total $

L

Annie Gunn's-5%

$   10

G

Jack-In-The-Box**-4%

$      15

G

BP-2%

$        50

G

Applebee's**-8%

$   25

G

Joe's Crab Shack-9%

$      25

G

Mobil**-1.5%

$        50

G

Arbys-8%

$   10

G

Kent. Fried Chicken**-9%

$        5

G

Shell**-1.5%

$        25

G

Auntie Anne's Pretzels-8%

$   10

G

Longhorn Steakhouse**-9%

$      25

G

Shell**-1.5%

$        50

L

Bartolino's **-3%

$   25

G

Long John Silver's-9%

$        5

G

Shell**-1.5%

$      100

G

Baskin Robbins**-9%

$     2

G

Macaroni Grill /Chili's**-11%

$      25

R

Blue Owl**-10%

$   10

G

Noodle's & Co.-8%

$      10

Other

(Circle one)

G

Bob Evans**-10%

$   10

G

O' Charley's**-13%

$      25

G

AMC Theaters-7%

$        25

G

Buffalo Wild Wings**-8%

$   10

G

Olive Garden**-9%

$      25

G

Best Western-12%

$25/$100

G

Burger King **-4%

$     5

L

Olive Garden//Red Lob**-9%

$      10

G

Blockbuster Video**-15%

$     3.79

G

Burger King **-4%

$   10

G

Outback Steakhouse**-4%

$      25

G

Blockbuster Video**-7%

$        10

G

California Pizza-4%

$   10

G

Papa John's-8%

$      10

G

Blockbuster-1 Game-15%

$          6

G

Casa Gallardo-8%

$   25

L

Pasta House**-10%

$      10

G

Comfort Inn-4%

$        25

G

Cheesecake Factory-5%

$   25

G

P.F. Changs**-7%

$      25

G

Chevy's-8%

$   25

G

Pizza Hut**-9%

$      10

G

Hyatt Hotels-9%

$25/$100

G

Chili's /Macaroni Grill**-11%

$   25

G

Qdobe-8%

$      25

G

Marriott-12%

$50/$100

L

Chris' Pancake House-5%

$   10

G

Red Lobster/Olive G**-9%

$      25

G

G

Chuck E. Cheese-8%

$   10

G

Red Lobster/Olive G**-9%

$      10

G

G

Cold Stone Creamery**-8%

$   10

G

Red Robin*-9%

$      10

G

Write-ins:

G

Cracker Barrel **-9%

$   10

G

Ruby Tuesday's-8%

$      25

G

G

Dave & Buster's-13%

$   25

G

Ruth's Chris Steakhouse-10%

$      50

G

G

Denny's-7%

$   10

G

St. Louis Bread Co.**-9%

$      10

G

G

Domino's Pizza**-5%

$     5

R

Six North Coffee Co.**-10%

$      25

R

G

Fazoli's-7%

$   25

G

Starbucks**-7%

$      10

R

QAS Gift Certificate

L

Fuzio-10%

$   10

G

Starbucks**-7%

$      25

(Can be used to purchase SCRIP

or grocery certificates.)

R

Garvey's**-10%

$   10

R

Soulard's**-10%

$      10

G

Great Harvest Bread-8%

$   10

G

Subway**-3%

$      10

Subtotal 6

G

Hard Rock Café-10%

$   25

G

Sweet Tomatoes-8%

$      10

Subtotal 1

G

Home Town Buffet-5%

$   25

G

TGI Friday's**-9%

$      25

Subtotal 2

G

Honey Baked Ham-12%

$   10

G

Texas Roadhouse**-8%

$      25

Subtotal 3

R

Imo's Pizza**-10%

$   10

G

Uno's**-12%

$      25

Subtotal 4

L

Imo's Pizza**-10%

$   20

G

Wendy's**-4%

$      10

Subtotal 5

G

J Buck's-6%

$   10

L

Yacovelli's-4%

$      10

Subtotal 5

Total

Subtotal 4

Name  ________________________________

_____Send  home through school

Grade_______

Home Phone #  _________________________

_____Pick up at Rectory

Homeroom____________________

Email _________________________________

_____Pick up at weekend Mass

(For order confirmation)