Support IE with bronco bucks!

HOLIDAY ORDERING SCHEDULE

Payment & Order DUE
Cards Distributed
Friday 12/4/15
Friday 12/11/15
Thursday 12/10/15
Thursday 12/17/15
BRONCO BUCKS are here! There are TWO more opportunities to place your order this month this FRIDAY
December 4th and next THURSDAY December 10th. These are perfect for gift giving, shopping and Winter
Carnival auction basket donations! This holiday season alone, we have ordered $18,500+ of gift cards and
raised over $1,000 for our school - WOW!!
What are BRONCO BUCKS? Its also known as scrip, which are gift certificates from 300+ national and local
retailers. Theyre the SAME gift certificates you buy at the store.and they help raise money for our school!
Gift certificates are sold to us at a discount our families buy the cards for full face value, redeem them for full
face value, and our school keeps the difference as revenue (average of 5% profit). In our first year of the
program we ordered $32,000+ in gift cards and raised over $1,600 that was used for our new computer lab!
Thank you in advance for your support!

Independence Elementary PTO

**********************************************************************************************

BRONCO BUCKS ORDERING

** Attached Enrollment Form must be completed in conjunction with first order being placed **
Questions/Contact: Sarah Malys sarahmalys@comcast.net or Jeni Dougherty jeni.dougherty531@gmail.com

SHOP ON-LINE (PREFERRED METHOD) ** Easiest and Fastest! **

1.

Create your Family Account at www.shopwithscrip.com ( Enrollment Code L89CL61A4LL58)

2.

Click on Shop in the upper right to view hundreds of gift cards options. For many retailers you may choose
between a physical gift card (to be distributed ~ one week after order is due) OR a ScripNow option which
allows for much quicker turnaround and the ability to print out directly from your computer.

3.

Two options for payment:

1) Set up PrestoPay via the website. This process takes 2-3 days to complete, however once your bank
account is verified, you may pay for your order directly on-line.
OR
2) Pay via check payable to Independence Elementary PTO. Payment MUST be received by specified due
date on ordering schedule. Please submit in an envelope labeled Scrips Order to your childs teacher.

*****************************************************************************************
If you are unable to shop via the website, you may complete the attached Family Order Form and return with check
payment (payable to Independence Elementary PTO) by specified deadline. Please submit in an envelope labeled
Scrips Order to your childs teacher.
*****************************************************************************************
Card Distribution: Please note if you would like your card sent home with your child OR held for you in the school office.
Attached Waiver of Responsibility must be signed and returned if you would like the cards sent home with your child.

Enrollment Form
Independence Elementary PTO Scrips Program (Bronco Bucks)
PROGRAM RULES AND GUIDELINES: Please read carefully before completing the form.
** Must be completed and returned to Bronco Bucks Coordinator in conjunction with first order **
1.
All orders must be accompanied by cash, check or money order made payable to Independence Elementary
PTO. Scrip purchases are not tax deductible because you receive dollar of dollar value.
2.
If your check is returned because of non-sufficient funds (NSF) you will be charged a $30 fee payable to
Independence Elementary PTO. After 2 NSF checks are tendered on your account, your scrip privileges will be limited
to cash or money order only.
3.
Scrip certificates are purchased on your behalf and are not returnable.
4.
When you receive your certificates, open your order and verify its accuracy. In the unlikely event you should
find a discrepancy in your order, please contact one of the scrip coordinators immediately.
5.
Scrip certificates are the same as cash and should be handled accordingly. Independence Elementary PTO will
not be responsible for certificates that are lost, stolen or misplaced once given to your child.
6.
You must sign the Waiver of Responsibility section of this form before certificates will be released to your
child. Independence Elementary PTO accepts no responsibility for certificates delivered in this manner. Otherwise,
your certificates may be picked up in the school office.

Name (first and last): _______________________________

Address: ____________________________________________
E-Mail: ____________________________________________
Phone Number: _______________(home) _______________(cell)
I have read and understand the policies and guidelines listed above, and I agree to abide by these policies.
Signature:________________________________Date:____________________

*********************************************************************
Waiver of Responsibility
The following waiver of responsibility will allow us to send your SCRIP order home with your child. Please complete
the waiver form if you elect this option and return it to school. If you do NOT have a waiver on file, your SCRIP order
can be picked up in the school office.
WAIVER OF RESPONSIBILITY
I hereby grant my permission for the Independence Elementary PTO to send my order of SCRIP certificates home with
my child_________________________ in _________________s classroom. I understand that I accept full
responsibility for the certificates and that the Independence Elementary PTO, Independence Elementary School and
the Clarkston School District have NO responsibility for the certificates once they are delivered to my child. This
permission shall remain in effect for the 2014-2015 school year or until I provide written notice to rescind it.
Print name:_________________________________________
Address:____________________________________________
Home phone:______________________Work phone:___________________
Signature:________________________________Date:____________________

Created: 12/1/2015 2:18:16 PM

Family Order Form

Independence Elementary PTO

Order form and check payment DUE by WED 12/4/15 (pickup by 12/11/15). Please note if you would like your card sent home (note
child's name and teacher) OR held in the school office. Hundreds more retailers & denominations on-line!
Name

Customer #

Check #

Order Date

Product

Total

Product

Total

Product

1-800-Baskets $50.00

12%

% QTY

Buca di Beppo $25.00

8%

% QTY

Discover Universal
Gift Card $50.00

1-800-Flowers $50.00

12%

Buckle $25.00

8%

Ace Hardware $25.00

4%

Buffalo Wild Wings

$25.00

8%

adidas $25.00

13%

10%

Build-A-Bear Workshop
$25.00

8%

Aeropostale $25.00
Amazon.com $10.00

3%

Amazon.com $100.00

3%

Amazon.com $25.00

% QTY

Total

1.25%

Disney $100.00

2%

Disney $15.00

2%

Disney $25.00

2%

Domino's $10.00

8%

Dunham's Sports
$25.00

8%

Dunkin' Donuts $10.00

3%

Burger King $10.00

4%

Burlington Coat Factory

$25.00

8%

3%

buybuyBABY $25.00

7%

AMC Theatres $10.00

8%

Cabela's $25.00

11%

Einstein Bros. Bagels

$10.00

10%

AMC Theatres $25.00

8%

California Pizza Kitchen

$25.00

8%

Express $25.00

10%

American Girl $25.00

9%

Caribou Coffee $10.00

6%

Applebee's $10.00

8%

Applebee's $25.00

8%

Carrabba's Italian Grill

$25.00

8%

Carson's $25.00

8%

Children's Place $25.00

12%

Chili's Grill & Bar $25.00

11%

10%

$
$

Arby's $10.00

8%

Athleta $25.00

14%

Babies"R"Us $20.00

3%

Baja Fresh $25.00

7%

Chipotle Mexican Grill

$10.00

Banana Republic
$25.00

14%

Chuck E. Cheese
$10.00

8%

Barnes & Noble $10.00

9%

Claire's $10.00

9%

Barnes & Noble $25.00

9%

Cold Stone Creamery

$10.00

8%

Barnes & Noble $5.00

9%

Comfort Inn $50.00

4%

Bass Pro Shops $25.00

9%

Country Buffet $25.00

5%

Bath & Body Works

$10.00

13%

Cracker Barrel $25.00

9%

bd's Mongolian Grill

$20.00

8%

Crate and Barrel $25.00

8%

Bed Bath & Beyond

$100.00

7%

Bed Bath & Beyond

$25.00

7%

Best Buy $100.00

Best Buy $25.00

Crazy 8 $25.00

13%

CVS/pharmacy $100.00

6%

Dairy Queen $10.00

3%

3%

Dave & Buster's $25.00

13%

3%

Dell Computer $100.00

4%

Exxon $50.00

1%

Family Video $10.00

12%

Fleming's Prime
Steakhouse $25.00

8%

Foot Locker $25.00

9%

GameStop $25.00

3%

Gander Mountain
$25.00

8%

Gap $25.00

14%

Gap Factory $25.00

14%

GFS Marketplace
$25.00

4%

GNC $25.00

8%

Great Clips $25.00

8%

Great Harvest Bread

$10.00

6%

Groupon.com $25.00

7%

Guitar Center $25.00

4%

Gymboree $25.00

13%

Hallmark $25.00

4%

10%

HomeGoods $25.00

7%

12%

Hard Rock Cafe $25.00

Bonefish Grill $25.00

8%

Denny's $10.00

7%

Honey Baked Ham

$25.00

BoRics $25.00

8%

Destination Maternity
$25.00

8%

IHOP $25.00

8%

Boston Market $10.00

12%

8%

iTunes $15.00

5%

BP $50.00

1.5%

Dick's Sporting Goods

$25.00

J. Crew $25.00

13%

Dillard's $25.00

9%

jcpenney $25.00

5%

1.25%

Jo-Ann Fabric and Craft

Stores $25.00

6%

Bravo Cucina Italiana

$25.00

12%

Brio Tuscan Grille

$25.00

12%

Make Checks Payable To:

$
$

Discover Universal
Gift Card $100.00

Independence Elementary PTO

Total Due All Columns:

Created: 12/1/2015 2:18:16 PM

Family Order Form

Independence Elementary PTO

Order form and check payment DUE by WED 12/4/15 (pickup by 12/11/15). Please note if you would like your card sent home (note
child's name and teacher) OR held in the school office. Hundreds more retailers & denominations on-line!
Name

Customer #

Check #

Order Date

Product

Total

Product

Total

Product

10%

Overstock.com $25.00

8%

Staples $25.00

5%

Kmart $25.00

4%

P.F. Chang's China

Bistro $25.00

8%

Star Theatres $25.00

8%

Kohl's $25.00

4%

Panera Bread $10.00

9%

Starbucks $10.00

7%

16%

Steak 'n Shake $10.00

8%

Papa John's Pizza

$10.00

8%

8%

SUBWAY Restaurants
$10.00

6%

Sunglass Hut $25.00

12%

Sunoco $50.00

1.5%

T.J. Maxx $25.00

7%

T.J.
Maxx/Marshalls/HomeG
oods $100.00

7%

T.J.
Maxx/Marshalls/HomeG
oods $25.00

7%

Taco Bell $10.00

5%

Tanger Outlets $25.00

8%

Target $10.00

2.5%

Journeys $25.00

L.L.Bean $25.00
Land of Nod $25.00
Lands' End $25.00

% QTY

Payless Shoes $20.00

% QTY

13%

PBteen $25.00

8%

Pei Wei Asian Diner

$25.00

8%

PetSmart $25.00

4%

Pier 1 Imports $25.00

9%

16%

Limited $25.00

9%

Little Caesar's Pizza

$20.00

8%

Lord & Taylor $25.00

8%

Lowe's $100.00

4%

Lowe's $20.00

4%

Pizza Hut (Not AK or HI)

$10.00

8%

Lowe's $25.00

4%

Plum Market $50.00

3%

8%

% QTY

Total

Macaroni Grill $25.00

11%

Pottery Barn $25.00

Maggiano's Little Italy

$25.00

11%

Pottery Barn Kids

$25.00

8%

Marathon $25.00

3%

Qdoba Mexican Grill

$25.00

7%

$
Target $25.00

2.5%

Marshalls $25.00

7%

Rainforest Cafe $25.00

9%

Target $50.00

2.5%

McCormick & Schmick's

$25.00

9%

Red Lobster $25.00

9%

TGI Fridays $25.00

9%

Meijer (not AK and HI)

$100.00

3%

Red Robin $25.00

9%

Meijer (not AK and HI)

$25.00

3%

8%

The Home Depot

$100.00

4%

REI $25.00

50%

The Home Depot

$25.00

4%

Restaurant.com $20.00

Michaels $25.00

4%

12%

Tim Hortons $10.00

5%

Mobil $50.00

1%

Restoration Hardware
$25.00

Toys"R"Us $20.00

3%

Morton's Steakhouse
$25.00

9%

4%

$
ULTA $25.00

4%

Motherhood Maternity
$25.00

8%

Under Armour $25.00

11%

$
$

9%

Uno Pizzeria & Grill

$25.00

12%

Muer Seafood $25.00

12%

Walgreens $25.00

6%

Noodles & Company

$10.00

8%

Office Depot $25.00

5%

Nike $25.00

Office Max $25.00

Ruby Tuesday $25.00

5%

14%

Olive Garden $25.00

9%

On The Border $25.00

11%

9%

Old Navy $25.00

Oriental Trading
Company $25.00
Outback Steakhouse
$25.00

Rite Aid $25.00

8%

Make Checks Payable To:

8%

10%

4%

Sally Beauty Supply

$25.00

12%

$
Walmart $25.00

2.5%

Sam's Club $25.00

2.5%

Wendy's $10.00

4%

Sears $25.00

4%

West Elm $25.00

8%

Sephora $20.00

5%

2%

Whole Foods Market

$25.00

3%

Shell $25.00

2%

Williams-Sonoma
$25.00

8%

Shell $50.00
Shutterfly $25.00

9%

Younkers $25.00

8%

Speedway $25.00

4%

Zappos.com $100.00

8%

Zappos.com $25.00

8%

Ruth's Chris Steak

House $50.00
Safeway $25.00

Sports Authority $25.00

Independence Elementary PTO

8%

Total Due All Columns: