| ST. GABRIEL FUND-IT GIFT CERTIFICATE ORDER FORM | ||||||||||||||||
| RETAIL STORES | Quantity | Total | Admin Use | RESTAURANTS | Quantity | Total | Admin Use | |||||||||
| 1-800-FLOWERS | 8% | $15 | 99 Restaurants | 4% | $10 | |||||||||||
| Airport Autowash | 33% | $6 | Applebees | 8% | $20 | |||||||||||
| Barnes & Noble | 8% | $10 | Boston Market | 10% | $10 | |||||||||||
| $25 | Burger King | 4% | $5 | |||||||||||||
| Bath & Body | 13% | $10 | Chili's | 8% | $20 | |||||||||||
| $20 | Chuck E Cheese | 7% | $10 | |||||||||||||
| Best Buy | 2% | $25 | Cracker Barrel | 8% | $10 | |||||||||||
| $100 | Dennys | 8% | $5 | |||||||||||||
| Domino's | 4% | $5 | ||||||||||||||
| Borders/Walden | 8% | $10 | Friendly's | 7% | $20 | |||||||||||
| $25 | KFC | 8% | $5 | |||||||||||||
| Circuit City | 3% | $25 | Macaroni Grill | 8% | $20 | |||||||||||
| $100 | Olive Garden | 8% | $25 | |||||||||||||
| Creative Memories/ | 10% | $10 | Outback Steakhouse | 4% | $25 | |||||||||||
| Colleen Repoli | $25 | Pizzaria Uno | 15% | $10 | ||||||||||||
| CVS | 2% | $25 | Rainforest Café | 9% | $25 | |||||||||||
| Dick's Sporting Goods | 8% | $25 | Red Robin | 8% | $10 | |||||||||||
| Eddie Bauer | 9% | $25 | TGI Friday | 8% | $10 | |||||||||||
| Gap | 8% | $25 | Wendy's | 8% | $10 | |||||||||||
| Home Depot | 2.5% | $25 | ||||||||||||||
| $100 | GROCERY STORES | |||||||||||||||
| $500 | A&P/Waldbaums | 3% | $25 | |||||||||||||
| JCPenney | 5% | $10 | Big Y | 2% | $25 | |||||||||||
| $25 | $50 | |||||||||||||||
| $100 | Geissler's | 10% | $10 | |||||||||||||
| JoAnn Fabrics | 6% | $20 | $25 | |||||||||||||
| KB Toys | 9% | $10 | $50 | |||||||||||||
| Kohls | 5% | $25 | $100 | |||||||||||||
| LL Bean | 8% | $25 | Stop & Shop | 4% | $25 | |||||||||||
| Land's End | 6% | $25 | $50 | |||||||||||||
| Linens-N-Things | 8% | $25 | HoneyBaked Ham | 9% | $25 | |||||||||||
| Lillian Vernon | 10% | $15 | ||||||||||||||
| Lowe's | 2.5% | $25 | GAS STATIONS | |||||||||||||
| $100 | Mobil/Exxon | 1.5% | $50 | |||||||||||||
| Marshall's/TJ Maxx | 7% | $10 | Shell | 2.0% | $25 | |||||||||||
| $25 | $50 | |||||||||||||||
| Media Play/Suncoast | 9% | $10 | Sunoco | 2.0% | $50 | |||||||||||
| Sam Goody | ||||||||||||||||
| Office Max | 4% | $25 | ||||||||||||||
| Old Navy | 8% | $25 | ENTERTAINMENT | |||||||||||||
| Payless | 12% | $10 | Blockbuster | 7% | $10 | |||||||||||
| Petco | 13% | $25 | $25 | |||||||||||||
| Pier 1 | 7% | $25 | Blockbuster (1 rent) | 19.5% | $4 | |||||||||||
| Radio Shack | 4% | $25 | Blockbuster Movie Night | 15% | $12 | |||||||||||
| Ritz Camera | 5% | $25 | ||||||||||||||
| Sears | 4% | $25 | OTHER (Name store and dollar amount) | |||||||||||||
| $100 | ||||||||||||||||
| $250 | ||||||||||||||||
| Staples | 4% | $25 | ||||||||||||||
| Toys/Kids R Us | 3% | $10 | ||||||||||||||
| $25 | ||||||||||||||||
| Williams Sonoma | 8% | $25 | TOTAL ORDER $ _______________ | |||||||||||||
| Make checks payable to: St. Gabriel Home and School Assoc. | ||||||||||||||||
| Date: | ________________________________ | |||||||||||||||
| Check one of the following: | ||||||||||||||||
| Customer Name: | ________________________________ | |||||||||||||||
| ______ Send home with my child | Grade: | |||||||||||||||
| Customer Phone: | ________________________________ | |||||||||||||||
| Student receiving | ______ Call when ready, will pick-up at Gosselin house | |||||||||||||||
| tuition credit: | ________________________________ | Phone Number | ||||||||||||||
| Note: For simplicity this order form has only a partial list of available retailers. For a complete list, including mail order, cruise/vacation destinations | ||||||||||||||||
| and out of town retailers please call or email Shelly Gosselin (683-2404 / shelgosselin@yahoo.com) | ||||||||||||||||
| FOR OFFICE USE ONLY: | ||||||||||||||||
| Check Number: | Amount: | $ | revised 3/1/05 | |||||||||||||
| Order filled on By | Vendor percentage subject to change. | |||||||||||||||
| Back-ordered Certs: | Filled: | |||||||||||||||