

The Scrip Store — Order Form
A 2.5% processing fee is added to all credit card orders.
| Business Name: | Profit: | Price: | Quantity: |
| Business Name: | Profit: |
| See'S Candies | 22% |
| Bath & Body Works | 18% |
| Regal/ Edwards/ Ua Movie Tickets | 18% |
| L. L. Bean | 17% |
| Lands' End | 16% |
| A M C Theaters | 15% |
| Celestino's Meats | 15% |
| Celestino's Meats | 15% |
| Edwards-Regal-United Artists Cinemas | 15% |
| Grower'S Direct | 15% |
| Ua/edwards/regal | 15% |
| Village Nurseries | 15% |
| Payless Shoe Source | 13% |
| Banana Republic/ Old Navy / Gap | 12% |
| Bloomingdale's | 12% |
| Gap/ Banana Republic/ Old Navy/ Athleta | 12% |
| Honey Baked Hams | 12% |
| Old Navy / Gap/ Banana Republic / Athleta | 12% |
| Pick Up Stix | 12% |
| Restoration Hardware | 12% |
| The Children's Place | 12% |
| Barnes & Noble Bookstore | 11% |
| Chili's (Maggiano's) | 11% |
| Macaroni Grill (Chilis) | 11% |
| Macy'S Department Store | 11% |
| Maggiano's (Chilis) | 11% |
| Cafe Rio Mexican Grill | 10% |
| California Pizza Kitchen | 10% |
| Cheescake Factory | 10% |
| Chipotle Mexican Grill | 10% |
| Eddie Bauer | 10% |
| Jamba Juice | 10% |
| La Sirena Grill | 10% |
| Mother'S Market | 10% |
| Quiznos Sub Shop | 10% |
| Ruby'S Diner | 10% |
| Souplantation/sweet Tomatoes | 10% |
| Wahoo's Fish Tacos | 10% |
| Barnes & Noble Bookstore | 9% |
| Baskin Robbins | 9% |
| Borders (Waldenbooks) | 9% |
| Coffee Bean & Tea Leaf | 9% |
| Olive Garden (Red Lobster) | 9% |
| Panera Bread | 9% |
| Rainforest Cafe (Landry's) | 9% |
| Red Lobster (Olive Garden) | 9% |
| The Container Store | 9% |
| American Airlines | 8% |
| Big 5 Sporting Goods | 8% |
| Buco di Beppo | 8% |
| Claim Jumper | 8% |
| Coco's Bakery & Rest. | 8% |
| Cold Stone Creamery | 8% |
| Crate & Barrel | 8% |
| Islands | 8% |
| Mimi's Cafe | 8% |
| Peet's Coffee & Tea | 8% |
| Pottery Barn (Wms-Sonoma) | 8% |
| REI Outdoor Gear | 8% |
| Ross Dress for Less | 8% |
| Sports Authority / Sportsmart | 8% |
| Williams-Sonoma (Pottery Barn) | 8% |
| Bed, Bath & Beyond | 7% |
| Blockbuster Video | 7% |
| Denny's | 7% |
| J. C. Penney Department Store | 7% |
| Jamba Juice | 7% |
| Krispy Kreme Donuts | 7% |
| Marshall's (T.J. Maxx) | 7% |
| P.F.Chang's (Pei Wei) | 7% |
| Starbucks Coffee | 7% |
| T.J.Maxx (Marshall's) | 7% |
| CVS Pharmacy | 6% |
| El Pollo Loco | 6% |
| Jo Anns Fabrics & Crafts | 6% |
| Stater Brothers | 6% |
| Albertsons | 5% |
| California Pizza Kitchen | 5% |
| Gelson'S Market | 5% |
| H & M Stores | 5% |
| Itunes | 5% |
| Lowes Home Improvement | 5% |
| Marukai Japanese Mkt. | 5% |
| Office Max | 5% |
| South Coast Plaza | 5% |
| Sprouts Farmers Market | 5% |
| Staples | 5% |
| Tall Mouse Crafts | 5% |
| Whole Foods | 5% |
| Ace Hardware | 4% |
| Amazon.com | 4% |
| Burger King | 4% |
| Home Depot Home Improvement | 4% |
| K Mart | 4% |
| Kohl'S Department Store | 4% |
| Michael's Crafts | 4% |
| Office Depot | 4% |
| Osh Hardware ( Sears) | 4% |
| Pavilions (Vons/Safeway) | 4% |
| Petsmart | 4% |
| Sears (osh Hardware) | 4% |
| Vons (pavilions) | 4% |
| Arco Gasoline Pump Pass | 3% |
| Henry'S Farmer'S Market - Ca Only | 3% |
| Smart & Final | 3% |
| Subway Sandwiches | 3% |
| Shell Gasoline | 2.50% |
| Arco Gasoline Pump Pass | 2% |
| Mastercard Gift Cards | 2% |
| Target | 1.50% |