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Scrip Order Form

The gvPTA Scrip Order Form is on-line!

You will see a confirmation of receipt on the screen then receive an e-mail from the Scrip Manager when she receives your order. If you have any questions, feel free to contact us by email at scrip@gvpta.com, or stop by the Scrip Sales Table.

Name:
Phone:
Payment:
EFT payment on One Time orders is available only if you already have an EFT set up for a Monthly Standing Order.
Order Type:
Delivery Method:
By selecting "Backpack", you agree that you will deem your order received once it has been delivered to the designated classroom.
Child's Name (Backpack orders only):
Teacher:
Room:
E-mail:
E-mail (confirm)
Special Instructions

Enter the total dollar amount of Scrip that you would like to purchase for each vendor, not the quantity:

Merchant Face % Amount ($)
Amazon.com 100s $100 4%
Amazon.com 25s $25 4%
Baja Fresh $25 7%
Barnes & Noble 10s $10 9%
Barnes & Noble 25s $25 9%
Bath & Body Works 10s $10 13%
Bath & Body Works 25s $25 13%
Beach Pizza $25 15%
Becker's Bakery $5 10%
Bed, Bath & Beyond $25 7%
Beehive $25 10%
Best Buy $25 3%
Bloomingdales 100s $100 12%
Bloomingdales 25s $25 12%
Bristol Farms $20 8%
California Pizza Kitchen $10 4%
Chevron $250 2.5%
Chili's/Macaroni Grill $25 11%
China Grill/Chongs $10 10%
Chipotle $10 10%
Claire's $10 9%
Coffee Bean & Tea Leaf $25 9%
Cold Stone Creamery $10 8%
Container Store 100s $100 9%
Container Store 25s $25 9%
Crate & Barrel 100s $100 8%
Crate & Barrel 25s $25 8%
CVS Pharmacy $25 6%
Dick's Sporting Goods $25 8%
El Gringo $25 10%
El Pollo Loco $10 6%
Elleni 25s $25 10%
Elleni 50s $50 10%
Four Daughters Kitchen $25 10%
Fresh Brothers Pizza $10 10%
Gap/Banana Republic/Old Navy/Piperlime/Athleta $25 9%
Grow the Produce Shop $25 5%
Islands $25 8%
iTunes $15 5%
J. Crew $25 13%
Jamba Juice $10 7%
Kettle $10 15%
L.L. Bean $25 15%
Land's End $25 17%
Macy's/Robinsons-May 100s $100 10%
Macy's/Robinsons-May 25s $25 10%
Mama D's $20 20%
Manhattan Bread & Bagel 100s $100 10%
Manhattan Bread & Bagel 5s $5 10%
Manhattan Meats $25 5%
Massage Spot 25s $25 15%
Massage Spot 50s $50 15%
Michaels $25 4%
Murad Spa 100s $100 15%
Murad Spa 25s $25 15%
Office Depot $25 4%
Olive Garden/Red Lobster $25 9%
P.F. Chang's $25 8%
Pages Bookstore 10s $10 9%
Pages Bookstore 25s $25 9%
Pancho's $20 10%
Patterson Cleaners $20 10%
Peet's Coffee & Tea $20 8%
Petsmart $25 4%
Pier 1 $25 9%
Pink Berry $10 5%
Red Lobster/Olive Garden $25 9%
Scrip Gift Certificate $Any Any%
See's Candy $16.90 20%
Sephora $20 4%
Sloopy's $5 10%
Sportmart/Sports Authority $25 8%
Spyder $20 10%
Starbucks 10s $10 7%
Starbucks 25s $25 7%
Strand Cleaners $20 10%
Subway $10 3%
Super Sports $25 5%
Target $100 2%
Target $25 2%
Tin Roof/Simmzy's/MB Post 100s $100 15%
Tin Roof/Simmzy's/MB Post 25s $25 15%
TJ Maxx/Marshall's 100s $100 7%
TJ Maxx/Marshall's 25s $25 7%
Toys R Us $20 2%
Trilogy Spa 100s $100 10%
Trilogy Spa 25s $25 10%
Veggie Grill $25 10%
Vons 100s $100 4%
Vons 25s $25 4%
Whole Foods 100s $100 3%
Whole Foods 25s $25 3%
Williams Sonoma/Pottery Barn/W. Elm 100s $100 8%
Williams Sonoma/Pottery Barn/W. Elm 25s $25 8%
Zappos.com $25 8%
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