THOMAS JEFFERSON PTA Manna Order Form 2015/2016 Orden para Tarjetas de regalo Manna por el comite de padres de Familia de TJ. No order is too small Grocery/Pharmacy: % Donation Available Amounts 5% $25/100 4% $20 3% $25/100 4% $25/50/100 CVS Pharmacy Garden Fresh Market Gorden Food Service Jewel/Osco Joe Caputo & Sons Mariano's Fresh Market Meijer Sam's Club/Walmart Target Walgreens Whole Foods Market # of Cards % Donation Available Amounts JoAnn Fabric 6% $25 Journeys 6% $25 K-Mart 4% $25/50 Kohl's*(can use to pay your credit card bill) 4% $25/100 Total $ Retailers: 4% $25 Lands' End 15% $25/100 4% 3% 2.5% $25/100 $25/100 $25/50/100 Lane Bryant LL Bean Lord & Taylor 8% 18% 9% $25 $25 $25 2.5% $25/50/100 Lowes Home Improvement 4% $25/100/500 6% $25/100 3% $25 Retailers: Ace Hardware Aeropostale Amazon.com American Eagle American Girl Babies R Us/Toys R Us Barnes & Noble/ B Dalton Bass Pro Bath & Body Works Bed Bath & Beyond Best Buy Build-A-Bear Burlington Coat Factory Cabela's Carson Pirie Scott Claire's Boutique/Icing Crate & Barrel Dick's Sporting Goods Disney Store Eddie Bauer Express/Express for Men Finish Line Footlocker GameStop/EB Games Option card includes: Gap/Old Navy/ Banana Republic / Athleta GNC Gymboree Hallmark Gold Crown Hair Cuttery Home Depot JC Penny*(can use to pay your credit card bill) Ninguna orden es muy pequeña 4% 8% 3% 9% 9% 3% 9% 9% 14% 6% 3% 8% 9% 11% 9% 9% 6% 6% 2% 9% 10% 10% 8% 3% $25/100 $25 $25/100 $25 $25 $20 $5/10/25 $25/100 $10/25 $25/100 $25/100 $25 $25 $25/100 $25/100 $10 $25/100 $25/100 $25/100 $25 $25 $25 $25 $25 14% $25 8% 13% 4% 8% 4% 5% $25 $25 $25 $10 $25/100 $25/100 Macy's Mario Tricoci Menards Men's Wearhouse Michael's Crafts Nike Nordstroms Office Depot OfficeMax Once Upon A Child Overstock.com Payless Shoe Source Petco Petsmart Pier 1 Imports Plato's Closet Pottery Barn/William Sonoma REI Restoration Hardware Ross Dress for Less Sally Beauty Supply Sears Sephora Shoe Carnival Sports Authority/Sportmart Staples Super Cuts Target The Children's Place The Container Store The Limited TJ Maxx/Marshall's/Home Goods Ulta Cosmetics Walmart Yankee Candle Zappos.com 10% $25/100 8% 3% $25/100 $25/100 7% 4% 14% 3% 4% 5% 8% 9% 13% 7% 4% 9% 8% 8% 9% 13% 8% 14% 4% 5% 4% 9% 5% 9% 2.5% 13% 9% 9% 7% 4% 3% 9% 8% $25 $25 $25 $25/100 $25/100 $25/100 $25 $25 $10 $25 $25 $25 $25 $25 $25 $25/100 $25 $25 $25/100/250 $20 $25 $25/100 $25/100 $25 $25/50/100 $25 $25 $25 $25/100 $25 $5/10/25/50 $25 $25/100 # of Cards Directions: Send this form with a check or cash in an envelope to school by Friday and your gift cards will be ready the following Friday Instrucciones: Envie esta forma completa acompañada de su cheque o efectivo en un sobre sellado y Las tarjetas de regalo estaran listar el siguiente viernes Any last minute orders can be made by contacting - Julie Wheeler (julz418@hotmail.com) or Amy Etnyre (aetnyre@gmail.com) by Friday afternoon. Make checks payable to TJ PTA. (Cuando escriba su cheque hagalo pagable a TJ PTA.) Page 1 Total Parents' Name (Nombre de padre de familia): Child's Name (Nombre el nino* (a)): Pagina 1 Total Page 2 Total Teacher/Grade (Nombre de el maestro y el grado de su hijo): Email Address (Direccion de correo): $ Pagina 2 Total Total Order $ Phone # (Numero de telefono): Orden Final How would you like to receive your gift cards? $ ( ) Send home in child's backpack ( ) Pick up from school on Friday* Como decea recibir sus tarjetas de regalo? ( ) Mande su orden en la mochila de su niño(a) ( )Recojalo en la escuela el dia viernes* * Is there another authorized adult who you give permission to pick up your gift cards? *El nombre de otro adulto que este authorizado a recoger la tarjeta de regalo? Si usted tiene alguna duda no dude en llamar a Violeta Payne a el numero telefonico 224-269-0425 Total $ THOMAS JEFFERSON PTA Manna Order Form 2015/2016 Restaurants: Applebee's Arby's Boston Market Buca Di Beppo Buffalo Wild Wings Buona Beef Buona Catering Burger King California Pizza Kitchen Cheesecake Factory Chili's Chipolte Mexican Grill Chuck E Cheese Cold Stone Creamery Country Buffet Cracker Barrel Dairy Queen Darden Card includes: Bahama Breeze/Capital Grill/ Longhorn Steak/Olive Garden/ % Donation Available Amounts 8% 8% 13% 9% 7% 8% 8% 4% 5% 5% 11% 11% 9% 8% 4% 9% 4% $10/25 $10 $10 $25 $25 $10 $100 $10 $25 $25 $25 $10 $10 $10 $25 $ 10/25 $10 9% $25 14% 7% 9% 3% 4% 24% 9% 8% 8% 19% 9% 8% 8% $25 $ 10/25 $10 $5/10/25 $15 $ 10/20 $10 $5 $25 $25 $20 $25 $25 Morton's Steak / Rainforest Café/ Bubba Gump Shrimp / Claim Jumper/McCormick & Schmick's 9% $25 Lettuce Entertain You Card includes: Big Bowl / Magianno's / Shaw's / Wildfire and more Lou Malnati's Pizza Noodles & Co Oberweis Omaha Steaks Outback /Bonefish Grill 13% $25/50/100 8% 6% 9% 8% 8% $25 $10/25 $10 $25 $25/50/100 Child's Name: Nombre el nino*(a) Total Cards $ Restaurants: PF Changs Panera Bread Papa Johns Pizza Pizza Hut Qdoba Mexican Grill Quiznos Red Robin Restaurant.com * Ruth's Chris Steakhouse Smashburger Starbucks Coffee Steak & Shake Subway Sweet Tomatoes Taco Bell TGI Fridays Uno Chicago Grill Walker Brothers Wendy's % Donation Available Amounts 8% 9% 8% 8% 7% 9% 9% 30% 9% 9% 7% 8% 3% 8% 4% 8% 13% 6% 4% $25 $5/10/25 $10 $10/25 $25 $10 $ 10/25 $10 $0 $10 $5/10/25 $10 $5/10 $25 $10 $25 $25 $25 $10 3% 1.5% 3% 4% 1.5% $25/100 $50 $25/50/100 $25/50/100 $50 3% 8% 9% 9% 6% 9% 8% 4% 9% 9% 7% 20% 10% 12% 2.0% $ 15/25 $25 $9 $10 $10 $25 $10 $100 $25 $25 $25 $16 $25 $25 $50 # of Total Cards $ Gas: Red Lobster/Seasons 52 Dave & Buster Denny's Domino's Pizza Dunkin Donuts Egg Harbor Fannie May Gino's East Great American Bagel Hard Rock Café Home Run Inn Honey Baked Ham Houlihans IHOP Landry's Card includes: # of Marathon Gas Exxon/Mobil Gas Shell Speedway BP/Amoco Specialty: Itunes AMC/Loews Theaters AMC Single Admission Classic Cinema Theatres Fandango Marcus Theater Brunswick Zone Dell Computers Oriental Trading Shutterfly.com AutoZone Delta Sonic Car Wash Jiffy Lube SpaFinder PrePaid VISA + Numerous Hotel & Travel options, see www.mannaexpress.net/merchant-list.html Page 2 Total $ Pagina 2 Total