| Orders are due on(________________________________________________) | |||||||||
| Familyname:___________________________________ | for ______________________________ delivery(excluding scholl out days) | ||||||||
| Check Payable to: PARKER VARNEY PTG for Scrip amount ONLY. | |||||||||
| Child's teacher:_____________________ | |||||||||
| Contact info- Name:_Nicole Rivers or Karen Munt | |||||||||
| Total Amount of Order $:______________________ | eMail:parker_varney_ptg@yahoo.com or kmunt@comcast.net | ||||||||
| Item | Description | Qty | Price | Total | Item | Description | Qty | Price | Total |
| National Grocery | |||||||||
| 1157 | Shaw's $50 (4%) | $50.00 | 1156 | Shaw's $25 (4%) | $25.00 | ||||
| 1013 | Stop & Shop $100 (4%) | $100.00 | 1012 | Stop & Shop $50 (4%) | $50.00 | ||||
| National Restaurants | |||||||||
| 211 | Applebee's $10 (8%) | $10.00 | 214 | Applebee's Special Order $25 (8%) | $25.00 | ||||
| 216 | Baskin-Robbins $2 (8%) | $2.00 | 225 | Bertucci's $25 (10%) | $25.00 | ||||
| 233 | Burger King $10 (4%) | $10.00 | 300 | Cheesecake Factory $25 (3%) | $25.00 | ||||
| 302 | Chili's $10 (11%) | $10.00 | 303 | Chili's $25 (11%) | $25.00 | ||||
| 311 | Chuck E. Cheese $10 (8%) | $10.00 | 282 | Cracker Barrel $10 (9%) | $10.00 | ||||
| 283 | Cracker Barrel $25 (9%) | $25.00 | 322 | D'Angelo's/Papa Gino's $10 (7%) | $10.00 | ||||
| 325 | Denny's $10 (7%) | $10.00 | 670 | Domino's $5 (4%) Paper | $5.00 | ||||
| 324 | Dunkin Donuts $10 (4%) | $10.00 | 373 | Friendly's $5 (7%) Available Oct 24 - December. | $5.00 | ||||
| 381 | KFC $5 (9%) | $5.00 | 388 | Longhorn Steakhouse $25 (11%) | $25.00 | ||||
| 403 | Ninety Nine '99' Restaurant (13%) | $25.00 | 342 | OliveGarden/RedLobster/SmokeyBones/BahamaBreeze $10 (9%) | $10.00 | ||||
| 343 | OliveGarden/RedLobster/SmokeyBones/BahamaBreeze $25 (9%) | $25.00 | 408 | OutBack/Carrabba's Italian Grill $25 (4%) | $25.00 | ||||
| 820 | Panera Bread $10 (9%) | $10.00 | 411 | PaPa John's Pizza $10 (6%) | $10.00 | ||||
| 412 | Pizza Hut $10 (9%) | $10.00 | 462 | Ruby Tuesday $10 (8%) | $10.00 | ||||
| 463 | Ruby Tuesday's $25 (8%) | $25.00 | 532 | Starbuck's $25 (7%) | $25.00 | ||||
| 531 | Starbucks $10 (7%) | $10.00 | 536 | Subway $10 (3%) | $10.00 | ||||
| 840 | TCBY $5 (12%) | $5.00 | 485 | Texas RoadHouse $10 (8%) | $10.00 | ||||
| 506 | TGIFriday's $10 (8%) | $10.00 | 512 | Wendy's $10 (4%) | $10.00 | ||||
| 226 | Boston Market $10 (12%) | $10.00 | 296 | Cold Stone Creamery $10 (8%) | $10.00 | ||||
| 395 | HoneyBaked Ham $25 (15%) | $25.00 | 445 | Quiznos $5 (8%) Paper | $5.00 | ||||
| 374 | Friendly's $25 (7%) | $25.00 | 384 | Long John Silver's $5 (9%) | $5.00 | ||||
| National Retailers | |||||||||
| 619 | American Eagle $25 (8%) | $25.00 | 621 | Bath & Body $10 (13%) | $10.00 | ||||
| 622 | Bath & Body $25 (13%) | $25.00 | 634 | Bed, Bath and Beyond $25 (6%) | $25.00 | ||||
| 64210 | Bob's Stores $10 (5%) Limited Supply | $10.00 | 642 | Bob's Stores $25 (5%) | $25.00 | ||||
| 64250 | Bob's Stores $50 (5%) Limited Supply | $50.00 | 654 | Claire's $10 (9%) | $10.00 | ||||
| 671 | Crate and Barrel $25 (4%) | $25.00 | 668 | Dick's Sporting Goods $25 (5%) | $25.00 | ||||
| 674 | Disney Gift Card $100 (2%) | $100.00 | 673 | Disney Gift Card $25 (2%) | $25.00 | ||||
| 684 | Express $20 (12%) | $20.00 | 711 | F.Y.E. $25 Gift Card (6%) | $25.00 | ||||
| 689 | Finishline $25 (11%) | $25.00 | 686 | Footlocker $25 (9%) | $25.00 | ||||
| 691 | Gap, Old Navy, Banana Republic $25 (9%) | $25.00 | 722 | JCPenney $25 (5%) | $25.00 | ||||
| 731 | Jo-Ann Fabrics $20 (6%) | $20.00 | 762 | Kmart $25 (4%) Discount Increase! | $25.00 | ||||
| 745 | Kohl's Department Store $25 (4%) | $25.00 | 778 | Linens 'n Things $25 (8%) | $25.00 | ||||
| 790 | Lord & Taylor $25 (8%) | $25.00 | 829 | Macy's $25 (9%) | $25.00 | ||||
| 794 | Modell's $25 (7%) | $25.00 | 796 | Nike $50 (8%) | $50.00 | ||||
| 823 | Payless Shoes $10 (13%) | $10.00 | 825 | Pier1 $25 (8%) | $25.00 | ||||
| 833 | Sears $100 (4%) | $100.00 | 832 | Sears $250 (4%) | $250.00 | ||||
| 830 | Sears $25 (4%) | $25.00 | 8262 | Sport's Authority $25 (8%) | $25.00 | ||||
| 842 | Sunglass Hut $25 (9%) | $25.00 | 8525 | Talbots Gift Card $25 (9%) | $25.00 | ||||
| 851 | Tanger Outlet Stores $25 (9%) | $25.00 | 770 | The Limited $25 (8%) Paper | $25.00 | ||||
| 844 | Timberland $25 (15%) | $25.00 | 807 | TJMaxx/ Marshalls/ HomeGoods/ A.J. Wright $25 (7%) | $25.00 | ||||
| 997 | Williams & Sonoma (Pottery Barn) $25 (8%) | $25.00 | 681 | Eddie Bauer $25 (8%) | $25.00 | ||||
| 805 | Men's WearHouse $25 (7%) | $25.00 | 850 | Sally Beauty $25 (14%) | $25.00 | ||||
| Childrens Speciality Stores | |||||||||
| 660 | Build-A-Bear Workshop $25 (8%) | $25.00 | 741 | K B Toys $10 (9%) | $10.00 | ||||
| 772 | The Children's Place $25 (11%) | $25.00 | 8472 | Toys R Us $25 (1.5%) | $25.00 | ||||
| 846 | ToysRUs $10 (1.5%) | $10.00 | |||||||
| Movie/Entertainment | |||||||||
| 661 | Blockbuster $10 (8%) | $10.00 | 669 | Blockbuster Game Card ($8 value) $7 (27%) | $7.00 | ||||
| 664 | Blockbuster Movie Card $4 (19.25%) | $4.00 | 926 | United Artists/Regal Theaters $10 (8%) | $10.00 | ||||
| 793 | Napster $15 (9%) | $15.00 | |||||||
| Electronic/Technology | |||||||||
| 638 | Best Buy $25 (2%) | $25.00 | 653 | Circuit City $50 (2%) | $50.00 | ||||
| 809 | Total Access Phone Cards $20 (15%) | $20.00 | 821 | Ritz Camera $25 (6%) | $25.00 | ||||
| Office Supplies | |||||||||
| 810 | Office Depot $25 (3%) | $25.00 | 811 | Office Max $25 (3%) | $25.00 | ||||
| 839 | Staples $25 (5%)) | $25.00 | |||||||
| Catalog and On-line Stores | |||||||||
| 612 | Amazon.com $25 (5%) | $25.00 | 647 | Cabela's $25 (8%) | $25.00 | ||||
| 712 | iTunes $25 (3%) NEW DENOMINATION | $25.00 | 776 | L.L.Bean $25.00 (16%) | $25.00 | ||||
| 768 | Land's End $25 (9%) | $25.00 | 802 | Orvis Retail&Catalog/On-line $25 (15%) | $25.00 | ||||
| 827 | Shutterfly $25 (8%) | $25.00 | 8451 | TicketMaster $25 (4%) | $25.00 | ||||
| Pharmacy/Drug Stores | |||||||||
| 657 | CVS Gift Card $25 (2%) | $25.00 | 935 | Walgreens Gift Card $25 (2%) | $25.00 | ||||
| Book Stores | |||||||||
| 626 | Barnes & Noble $10 (9%) | $10.00 | 627 | Barnes & Noble $25 (9%) | $25.00 | ||||
| 981 | Borders Books $10 (8%) | $10.00 | |||||||
| Home Improvement | |||||||||
| 707 | Home Depot $1000 (3%) Requires 1 week | $1,000.00 | 706 | Home Depot $500 (3%) Requires 1 week | $500.00 | ||||
| 709 | Home Depot $5000 (3%) Requires 1 week | $5,000.00 | 704 | Home Depot $100 (3%) | $100.00 | ||||
| 702 | Home Depot $25 (3%) | $25.00 | 703 | Home Depot $50 (3%) | $50.00 | ||||
| 787 | Lowe's $1000 (4%)Requires 1 week | $1,000.00 | 784 | Lowe's $100 (4%) | $100.00 | ||||
| 782 | Lowe's $25 (4%) | $25.00 | 783 | Lowe's $50 (4%) | $50.00 | ||||
| 786 | Lowe's $500 (4%) Requires 1 week | $500.00 | |||||||
| Hotels and Travel | |||||||||
| 999 | Carnival Cruise Lines $100 (8%) | $100.00 | |||||||
| Automobile Care/Gas Cards | |||||||||
| 953 | Exxon/Mobil Gas Card $100 (1.5%) | $100.00 | 952 | Exxon/Mobil Gas Cards $50 (1.5%) | $50.00 | ||||
| 977 | Shell Card $100 (2.5% until 12/31/07) | $100.00 | 976 | Shell Gas Card $25 (2.5% until 12/31/07) | $25.00 | ||||
| 978 | Shell Gas Card $50 (2.5% until 12/31/07) | $50.00 | 969 | Sunoco Gas Cards $50 (1.5%) | $50.00 | ||||
| 931 | Advance Auto Parts $25 (7%) | $25.00 | |||||||
| TOTAL A: | TOTAL B: | ||||||||
| GRAND TOTAL (TOTAL A+ TOTAL B): | |||||||||
| Note : | |||||||||