St. Thomas the Apostle School is not liable nor responsible for losses that may occur after you or the person you’ve designated above receives the Scrip order.

Please choose one of the following options:

☐ I will pick up my order in the school office.

☐ __________________________ will pick up my order in the school office.

☐ Please send my order home with _________________________________, grade _____.

Gift Card Order Form

Retailer Name Amount Qty. Subtotal

Total:

Office UsePaid by ☐ Cash or

☐ Check No. ___________

Name: ________________________________________ Phone: _______________________

Email: _____________________________________________________________

Purchaser’s Signature: ________________________________________ Date: ____________________

Checks should be made out to St. Thomas the Apostle School.

For a complete list of the 700+ retailers, restaurants, etc. that offer rebates, visit https://shop.shopwithscrip.com/Shop.

Enter cards not listed on the reverse below. Retailers offer cards in various denominations. Please be sure to visit https://shop.shopwithscrip.com/Shop to see which

denominations the cards you would like are available in and enter that info under “Amount”.

THE REVERSE NOW INCLUDES A LIST OF FREQUENTLY ORDERED CARDS TO MAKE ORDERING EASIER THAN EVER!