St. Martin’s Gift Certificate Order Form – Please return to school by 8:00 a.m. on Friday

Checks should be made out to “St. Martin PTO”

Click here to see Usage Guidelines

Child’s Name:	Homeroom:
Parent’s Name:	Phone Number:
E-Mail address:

These certificates are on-hand and are available any time.

GROCERY/LOCAL MERCHANTS	Profit	Certificate Amt.	Qty.	Totals	SPECIALTY STORES	Profit	Certificate Amt.	Qty.	Totals
Kroger	5%	$10			Bath & Body Works/ White Barn Candle	13%	$10
		$25					$25
		$50			Blockbuster Card	7%	$10
Cheviot IGA	5%	$10			Exxon/Mobil	3%	$25
		$20			Hollywood Video	15%	$10
Garden Fresh Market	5%	$10			Home Depot	3%	$25
R & R Meats	7%	$10			JCPenney**	5%	$25
Supreme Nut & Candy	10%	$5			Jo Ann Fabrics	6%	$20
Tummy Treats	5%	$1			K-mart	2%	$10
		$5					$25
					Kohl’s**	5%	$10
RESTAURANTS							$25
Applebee’s	8%	$10					$50
Bob Evans	10%	$5					$100
Burger King	4%	$5			Media Play	9%	$10
Domino’s Pizza	5%	$5			Old Navy	9%	$25
KFC	9%	$5			Shell	2%	$25
O’Charley’s	13%	$25			Speedway	4%	$25
Outback Steakhouse	4%	$25			Toys R Us / Kids R Us/Babies R Us	3%	$20
Pizza Hut	9%	$5
Red Lobster/ Olive Garden	9%	$25
TGI Friday’s	13%	$10
Texas Roadhouse	8%	$25			SCRIPs Wallet		$1
Wendy’s	9%	$10			(Certificate Holder)

** - Can be used to pay on charge accounts

FRONT PAGE TOTAL

BACK PAGE TOTAL

GRAND TOTAL

PLEASE SEE OTHER SIDE FOR ADDITIONAL INFORMATION

* Please note: St. Martin’s is not responsible for lost or stolen gift certificates *

The following gift certificates are not on hand but can be ordered.

Orders must be received by Friday at 8 a.m. in order to have them back by the following week.

There is a shipping charge that we pay for gift certificates, therefore they will only be ordered on the

2^nd & 4^th Fridays of each month.

* Please note: St. Martin’s is not responsible for lost or stolen gift certificates *

STORE NAME

Profit

Certificate Amt.

Qty.