2015-2016 Smart Money Scholarship Program Order Form

The Smart Money program runs July 1, 2015 through June 30, 2016. Pay by cash, credit card, or check payable to “Smart Money”.

Name: ______
Phone or Email: ______/ I will pick up my order at the Parish Office:
 Wednesday  Thursday  Friday
I will pick up my order in the Social Hall on Sunday between 9 and 10 am or 11 am and 12 pm.
 Please send my order home with the following student: ______
We carry the highlighted items in our inventory; all others must be ordered. We order cards every Sunday. These cards can be picked up as early as Wednesday.
Vendor / Value / Credit
$$$ / Qty / Total Credit / Total / Vendor / Value / Credit
$$$ / Qty / Total Credit / Total
Ace Hardware / $25 / .50 / Cracker Barrel / $25 / 1.13
Aeropostale / $25 / 1.25 / Crazy 8 / $25 / 1.63
Amazon.com / $25 / .37 / CVS / $25 / .75
American Eagle / $25 / 1.25 / CVS / $100 / 3.00
American Girl / $25 / 1.13 / Dairy Queen / $10 / .15
Applebee’s / $25 / 1.00 / Dick’s / $25 / 1.00
Arby’s / $10 / .40 / Dick’s / $100 / 4.00
Arooga’s / $25 / 1.25 / Disney / $100 / 1.00
Barnes & Noble / $10 / .45 / Dressbarn / $25 / 1.00
Barnes & Noble / $25 / 1.13 / Dunkin’ Donuts / $10 / .15
Bass Pro Shops / $25 / 1.13 / Eat’n Park / $25 / 1.25
Bath & Body Wks / $10 / .65 / Finish Line / $25 / 1.25
Bath & Body Wks / $25 / 1.63 / Foot Locker / $25 / 1.13
Bed Bath & Beyond / $25 / .88 / GameStop / $25 / .38
Best Buy / $25 / .38 / Gander Mountain / $25 / 1.00
Bob Evans / $10 / .50 / Gap/Old Navy / $25 / 1.75
Bonefish Grill / $25 / 1.00 / GNC / $25 / 1.00
Bon-Ton / $25 / 1.00 / Great Clips / $25 / 1.00
Boscov’s / $25 / 1.00 / Groupon / $25 / .88
Brewhouse Grille / $25 / 1.25 / Gymboree / $25 / 1.63
Brooks Brothers / $25 / 2.00 / Hallmark / $25 / .50
Bruster’s / $10 / .40 / Harry & David / $25 / 1.25
Buffalo Wild Wings / $25 / 1.00 / Holiday Hair / $25 / 1.00
Build-A-Bear / $25 / 1.00 / Home Depot / $25 / .50
Burger King / $10 / .20 / Home Depot / $100 / 2.00
Burlington Coat Factory / $25 / 1.00 / Honey Baked Ham / $25 / 1.50
Cabela’s / $25 / 1.38 / Hoss’s / $25 / 1.25
Cheesecake Factory / $25 / .63 / iTunes / $15 / .38
The Children’s Place / $25 / 1.50 / iTunes / $25 / .63
Chili’s/Mac. Grill / $25 / 1.38 / JCPenney / $25 / .63
Chipotle / $10 / .50 / Jo-Ann Fabric / $25 / .75
Christmas Tree Shops / $25 / .88 / KFC / $ 5 / .20
Claire’s / $10 / .45 / Kmart / $25 / .50
The Container Store / $25 / 1.13
SUBTOTAL: / SUBTOTAL:
Vendor / Value / Credit
$$$ / Qty / Total Credit / Total / Vendor / Value / Credit
$$$ / Qty / Total Credit / Total
Kohl’s / $25 / .50 / Sephora / $20 / .50
Kohl’s / $100 / 2.00 / Sheetz / $25 / .38
L.L. Bean / $25 / 2.00 / Shell / $25 / .31
Little Caesars / $20 / .80 / Shutterfly / $25 / 1.13
Longhorn Steakhouse / $25 / 1.13 / Staples / $25 / .63
Lowe’s / $25 / .50 / Starbucks / $10 / .35
Lowe’s / $100 / 2.00 / Starbucks / $25 / .88
Macy’s / $25 / 1.25 / Subway / $10 / .30
Macy’s / $100 / 5.00 / Sweet Frog
(Camp Hill location) / $10 / .50
Men’s Wearhouse / $25 / 1.00 / Taco Bell / $10 / .25
Michaels / $25 / .50 / Talbots / $25 / 1.63
Nick’s 114 Cafe / $25 / 1.25 / Tanger Outlets / $25 / 1.00
Olive Garden / $25 / 1.13 / Target / $25 / .32
Oriental Trading / $25 / 1.12 / Target / $100 / 1.25
Outback/Carrabba’s / $25 / 1.00 / Texas Roadhouse / $25 / 1.00
Oxford Hall / $25 / 1.25 / TGI Friday’s / $25 / 1.13
Panera Bread / $10 / .45 / T.J. Maxx / $25 / .88
Panera Bread / $25 / 1.13 / Toys “R” Us / $20 / .30
Papa John’s / $10 / .40 / Ulta / $25 / .50
Payless ShoeSource / $20 / 1.30 / Under Armour / $25 / 1.38
PetSmart / $25 / .50 / Walmart/Sam’s / $25 / .31
Pier 1 Imports / $25 / 1.13 / Walmart/Sam’s / $100 / 1.25
Pizza Grill / $25 / 1.25 / Wendy’s / $10 / .20
Pizza Hut / $10 / .40 / Zappos.com / $25 / 1.00
Pottery Barn / $25 / 1.00 / SUBTOTAL:
Red Lobster / $25 / 1.13 /
Red Robin / $25 / 1.13
Rita’s Italian Ice / $ 5 / .25
Rite Aid / $25 / .50
Ruby Tuesday / $25 / 1.00
Sears / $25 / .50
Sears / $100 / 2.00
SUBTOTAL:
GROCERY:Write inGiant, Weis, Karns, Darrenkamp’s / Value / Credit
$$$ / Qty / Total Credit / Total / Total Amount of Order:
All orders must be paid in full. / $
$25 / .63 / Check #/Cash/Credit
$50 / 1.25 / Total Credit / $
$100 / 2.50 / Credit to:
Voucher given? / Yes or No

If you intend to request aid from the Smart Money Scholarship Program, you MUST submit an application to the school or parish office no later than June 1, 2016. See school website for all details on this program: .