Shopping Card / Gift Card Order form

Name / Order Date: / Phone: / Email
Address: / City: / State: / Zip:

Indicate the quantity of each denomination you would like for each merchant, then put the total in the “Total Due” column. Profit percentage is for your information only. Please no credit card orders for merchants with profit less than 5%. For questions, contact the Temple office at 860-633-3966. Cash or check for the total amount must be included with your order. Make checks payable to Congregation Kol Haverim–Gift Card. For a full list of merchants, go to

Participating merchants, denominations and discounts subject to change without notice.9/18/2018

Merchant / Value / Profit to group / Qty / Total Due (Value x Qty)
Amazon.com / $25 / 3%
Amazon.com / $50 / 3%
Barnes & Noble / $10 / 9%
Barnes & Noble / $25 / 9%
Bath & Body Works / $10 / 13%
Bath & Body Works / $25 / 13%
Bed, Bath and Beyond / $25 / 6%
Bertucci’s / $25 / 10%
Bob's Stores / $25 / 9%
Boston Market / $10 / 12%
Cabela’s / $25 / 8%
Chili’s / $25 / 11%
Chipotle / $10 / 10%
CVS / $25 / 4%
Dick’s Sporting Goods / $25 / 5%
Domino’s Pizza / $10 / 8%
Dunkin’ Donuts / $10 / 3%
Gap/Old Navy/Banana Republic / $25 / 9%
Home Depot / $25 / 4%
Home Depot / $50 / 4%
iTunes / $15 / 4.5%
iTunes / $25 / 4.5%
Kohl’s / $25 / 4%
Lands' End / $25 / 14%
LL Bean / $25 / 18%
Lowe's / $25 / 4%
Macy's / $25 / 10%
Marriott Hotels (good at allMarriott Hotels, SpringHill Suites, TownePlace Suites and Fairfield Inn) / $50 / 9%
Marriott Hotels / $100 / 9%
Marshalls/TJ Maxx/ HomeGoods / $25 / 4%
Ninety Nine Restaurant / $25 / 13%
Olive Garden/Red Lobster/Longhorn / $25 / 9%
Panera Bread / $10 / 9%
REI / $25 / 8%
Staples / $25 / 5%
Starbucks / $5 / 7%
Starbucks / $10 / 7%
Starbucks / $25 / 7%
Subway / $10 / 3%
Target / $25 / 2%
Williams Sonoma / $25 / 8%
Current Merchants (Card Inventory in Stock)
Highland Park Market / $50 / 5%
Highland Park Market / $100 / 5%
Shop Rite / $50 / 5%
Shop Rite / $100 / 5%
Stop & Shop (need to order) / $25 / 4%
Stop & Shop / $50 / 5%
Stop &Shop / $100 / 5%
Whole Foods / $100 / 3%
Current Merchants (Limited In-Stock)
Brueggers / $10 / 7%
Chipotle / $10 / 10%
CVS / $25 / 4%
Dunkin Donuts / $10 / 3%
Panera Bread / $10 / 9%
**Starbucks for college** / $5 / 7%
TOTAL

Participating merchants, denominations and discounts subject to change without notice.9/18/2018

Participating merchants, denominations and discounts subject to change without notice.9/18/2018