Weekly Gift and Grocery Form
Family____________________________________ Date______________________________
Child/Class________________________________ Phone Number _____________________
Most orders will be sent home by Friday the latest. Please make checks payable to St. Peter's School
For questions and listing of additional gift cards available e-mail Trish Colucci at mythreesons2004@gmail.com
Merchant Denomination School Earns QTY Total
Stop and Shop $25.00 5%
$50.00 5%
$100.00 5%
North Shore Farms $25.00 5%
$50.00 5%
$100.00 5%
Uncle Giuseppe's $25.00 5%
$50.00 5%
$100.00 5%
Whole Foods $25.00 3%
$100.00 3%
Chipotle $10.00 10%
Dunkin Donuts $10.00 3%
McDonalds $10.00 15%
Panera Bread $10.00 8%
$25.00 8%
Smashburger $10.00 10%
Starbucks $10.00 7%
$25.00 7%
Subway - new $10.00 6%
Amazon - new $25.00 2.5%
Barnes & Noble $25.00 8%
Bed Bath & Beyond $25.00 7%
Dicks Sporting Goods $25.00 8%
Gap/Old Navy/Banana Rep/Athleta $25.00 14%
Home Goods/TJMax/Marshalls $25.00 7%
Lord & Taylor $25.00 8%
Macys $25.00 10%
Rite Aid $25.00 4%
Sephora - $20 - new $20.00 5%
Shell Gas Card $25.00 2%
$50.00 2%
Target $25.00 2.5%
Toys R Us - $20 $20.00 3%
Total
For office use only
Date rec'd _____________ Check # ______________ Amount ____________ SCRIP Verified by:_______________________