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Scrip Order Form
Name_________________________
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ECG Robotics
Phone #_______________________
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Make checks payable to ECG Robotics
Date__________________________
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NEW FAMILIES must complete a Scrip Program Agreement with first order.
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Orders due Fridays by 6pm, pick up will be announced through email.
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Card Name%QTYTotalUse Kohl's cards purchased through SCRIP to pay your Kohl's charge card bill. Take the cards to any register or customer service at Kohl's.
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Kohl's $100.004%$
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Kohl's $25.004%$
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Target $25.002.5%$
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Cracker Barrel $25.008%$
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P.F. Chang's $25.008%$Questions? Email Laura, treasurer@ecgrobotics.org
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Chipotle $10.0010%$
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Dunkin' Donuts $25.002.5-3%$
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Panera Bread $25.008%$
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Papa John's Pizza $10.008%$
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Starbucks $25.007%$
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SUBWAY® $10.006%$
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Amazon.com $25.002.5%$
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Barnes & Noble $25.008%$
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Cinemark Theatres $25.004%$
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Regal Theatres $25.008%$
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Sheetz $25.003%$
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Bath & Body Works $25.0013%$
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CVS $25.006%$
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Walgreens $25.006%$
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Bed Bath & Beyond $25.007%$
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Lowe's Home $100.004%$
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The Home Depot $100.004%$
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iTunes® $25.005%$
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TOTAL # of Cards
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TOTAL DOLLAR AMOUNT$
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