SACRED HEART SCRIP ORDER FORM 2/23/2010
Retail amount profit # of Cert. $ amount Food amount profit # of cert. $amount
Aeropostale $25 7%     Annie Guns $10 5%    
American Eagle $25 9%     Applebees $25 8%    
B. Dalton/Barnes & Noble $10 9%     Arby's $10 8%    
Bass Pro $25/$100 9%     Bob Evans $10 10%    
Bath & Body/White Barn $10/$25 13%     Buffalo Wild Wings $10 5%    
Bed, Bath & Beyond $25 7%     Burger King $10 4%    
Best Buy $25/$100 2%     Cal. Pizza Kitchen $10 4%    
Build-A-Bear $25 8%     Cheesecake Factory $25 5%    
Cabelas $25/$100 11%     Chevy's $25 8%    
Claire's/Icing $10 9%     Chili's/Macaroni Grill $25 11%    
Dick's Sporting Goods $25/$100 8%     Chuck E. Cheese $10 8%    
Dillards $25 9%     Cold Stone $10 8%    
Express/Express for Men $25 13%     Cracker Barrel $10 9%    
Finish Line $25 10%     Culver's $10 10%    
Footlocker $25 9%     Dave & Busters $25 13%    
Gap/Old Navy/Banana Republic $25 9%     Denny's $10 7%    
GNC $25 8%     Domino's Pizza $10 5%    
Gordman's $25 7%     Hardees $10 8%    
Gymboree $25 13%     Honey Baked Ham $10 20%    
Hallmark $25 4%     Imo's $20 3%    
Home Depot $25/$100 4%     Jack in the Box $10 4%    
JCPenney** $25/$100 5%     KFC $5 8%    
Joann Fabrics $20 6%     Long John Silvers $5 8%    
Kohl's* $10/$25 5%     Max & Erma's $20 13%    
Kohl's* $50/$100 5%     Mimi's Café $25 8%    
Lands End $25/$100 16%     O'Charley's $25 13%    
Limited $25 9%     Outback $25 5%    
Lowes $25/100/500 4%     PF Changs $25 7%    
Macy's $25 10%     Pasta House $10 10%    
Marshalls/Homegoods $25 7%     Pizza Hut $10 8%    
Maurice's $20 7%     Qdoba $25 7%    
Michael's $25 4%     Red Lobster/Olive Garden/ $25 9%    
Nike $25 12%     Longhorn        
Nine West Shoes $25 8%     Red Robin $25 9%      
Office Depot $25 4%     Ruby Tuesdays $25 8%    
Payless Shoes $20 13%     St. Louis Bread Co. $10 9%    
Petsmart $25 4%     Starbuck's $10 7%    
Pier One Imports $25 9%     Steak n Shake $10 8%    
Radio Shack $25 4%     Subway $10 3%    
Sally's Beauty Supply $25 12%     Texas Roadhouse $25 9%    
Sears $25/$100 4%     TGI Fridays $25 9%    
Sports Authority $25/$100 8%     Wendy's $10 4%    
Toys R Us $20 1.50%     Local        
Waldenbooks/Borders $10/$25 9%     54th St. Grill $20 20%    
Walgreens $25 2%     Bellacino's $20 15%    
WalMart $25/100/250 2%              
Misc.         Cherry Street Grill & Pub $20 10%    
Amazon.com $25 4%     China Green Buffet $10 5%    
AMC Theatres $25 7%     Chihuahua's $10 10%    
Best Teachers Supply $10 10%   Country Cottage $10/$25 5%    
Blockbuster $10 7%     Dairy Queen $5 20%    
Great Clips $25 8%     Great Skate $10 10%    
iTunes $15 4%     Halo & Wings $10/$25 10%    
BP/Amoco $50/$100 2%     Harry J's $20 8%    
BP/Amoco $250 3%     J.R. Diamonds $15 10%    
Visa Cards $25/$50 2%     King Edwards Chicken $10 10%    
Sinclair Gas $25 2%     Krumbly Burger $5 10%    
Grocery         Landmark $10 5%    
**Kroger $10/$25 3%     Mannino's $25 11%    
          Nail Pro $25 16%    
**Kroger $50/$100 3%     Playtime Party Center $20 4%    
Dierbergs $25/$100 4%     Rivers Edge Pizza $10 10%    
Shop & Save $25/$100 5%     Stefanina's $15 10%    
The Tan Co. $10/$25 20%    
Zadock's $10 10%    
**Kroger Card # _________________________________________________                                                                     
NOTES:
Action Flash Photography will give a $25 credit for a $50 booking Total__________  check #_________ Pick Up_____ or
 Elliott Carpet - donates $25 for purchase over $500
send order w/ _________________________ Teacher _______
*Kohl's can be used to pay off your charge
**JCPenney NO LONGER accepts scrips to pay off your charge Family Credit ________________________________ Family
Kroger: cards carrying a balance of $0 for 90 days will become
inactivated (expired) and cannot be reloaded. Order Filled By: ___________________ Date: ____________
Don't forget to check out all the scrip options on
the Great Lakes Scrip website www.glscrip.com or
purchase through www.shopwithscrip.com 
Our code is L6A18L2A1LLL