| Brantford
Christian School - TRIP Order Form |
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| Name:______________________________________________________ |
Phone #: |
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| Name of BCS Family
to apply to:
_______________________________________________________________________ |
| To go home
with: __________________________ |
Grade: |
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□ I will pick up my order |
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| Payment: |
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Cash |
□
Cheque |
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□ Post-dated
Cheque |
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□ Please send me more order forms. |
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| Order
forms available on BCS website:
www.bcsbrantford.ca |
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| Orders must be in each Monday
by 12 noon and will be delivered or ready for pickup on Wednesday by 3 p.m. |
| Order forms can be
brought to school by "kiddie" mail, put in mailbox outside office
or faxed to 752-6088. |
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| MERCHANT |
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DENOMINATIONS |
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Qty |
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Qty |
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Qty |
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Qty |
TOTAL |
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| The following are available for immediate purchase (subject
to availability). Order form must be filled out |
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| A&P/Dominion/The
Barn/Ultra Food & Drug/Food Basics |
5.0% |
$10 |
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$20 |
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$25 |
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$50 |
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| Canadian
Tire |
5.0% |
$10 |
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$25 |
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$50 |
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$100 |
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| HBC: The
Bay/Zellers/Home Outfitters |
3.0% |
$25 |
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$50 |
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$100 |
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| Home
Depot |
2.0% |
$50 |
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$100 |
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$250 |
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$1,000 |
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| Home
Hardware/Home Furniture |
3.5% |
$25 |
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$50 |
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$100 |
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| Loblaws/Fortinos/No
Frills/Valu-Marts/Zehrs |
5.0% |
$25 |
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$50 |
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$100 |
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$250 |
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| Petro-Canada |
2.0% |
$25 |
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$50 |
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$100 |
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| Pioneer
Petroleum |
1.5% |
$10 |
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| Sears/Sears
Home/Sears Travel |
3.0% |
$25 |
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$50 |
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$100 |
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$500 |
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| Sobeys/IGA/Price
Chopper/ Foodland/FoodTown/Commissos |
5.0% |
$5 |
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$10 |
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$25 |
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$50 |
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| Tim
Hortons |
5.0% |
$5 |
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$10 |
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| Wal-Mart/Sams
Club |
1.0% |
$25 |
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$50 |
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$100 |
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| Retailers listed below can be available the
following Wednesday. |
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| Blockbuster |
5.0% |
$10 |
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$20 |
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| Cara/Kelsey's/Montana/Outback/Milestone's/Swiss
Chalet |
3.0% |
$25 |
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$50 |
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| Chapter's/Coles |
10.0% |
$10 |
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$25 |
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| East
Side Mario's/Casey's/Prime Pubs |
8.0% |
$25 |
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| EB
Games |
3.0% |
$25 |
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| Famous
Players/Cineplex/Odeon- Admit One Passes |
10.0% |
$10.00 |
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| Jack
Astor's/Alice Fazooli's |
10.0% |
$25 |
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$50 |
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$100 |
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| Keg
Restaurants |
8.0% |
$25 |
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$50 |
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$100 |
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| Laura
Secord |
15.0% |
$10 |
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$25 |
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| M&M Meat Shops |
3.0% |
$10 |
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$25 |
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Subtotal: |
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| MERCHANT |
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DENOMINATIONS |
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% |
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Qty |
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Qty |
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Qty |
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Qty |
TOTAL |
| M&M
Meat Shops |
3.0% |
$10 |
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$25 |
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| M&M
Meat Shops |
3.0% |
$10 |
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$25 |
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| Mark's
Work Warehouse |
7.0% |
$25 |
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$50 |
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$100 |
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| Old
Navy |
7.0% |
$25 |
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| Payless
Shoes |
10.0% |
$25 |
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| Pharmaplus/Resall
Drug Stores |
5.0% |
$25 |
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$50 |
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$100 |
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| Pizza
Pizza (Book of 5 x $5) |
10.0% |
$25 |
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| Rainbow
Cinemas & Magic Lantern Theatres |
5.0% |
$10 |
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| Scholar's
Choice |
5.0% |
$25 |
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| Shoppers
Drug Mart |
3.0% |
$25 |
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$50 |
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$100 |
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| Sport
Chek/Coast Mountain Stores |
5.0% |
$25 |
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$50 |
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| STAPLES
Business Depot |
3.0% |
$25 |
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$50 |
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$100 |
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$250 |
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| Toys R
Us |
2.0% |
$25 |
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$50 |
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$100 |
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| Ultramar
(GAS ONLY) |
2.0% |
$20 |
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| Wendy's
Restaurants (Bk of 5x$5) |
5.0% |
$25 |
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| Winners/Homesense |
7.0% |
$25 |
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$50 |
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$100 |
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| Others: (See list posted on BSC website: www.bcsbrantford.ca) |
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SUBTOTAL Pg. 2 |
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SUBTOTAL Pg. 1 |
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TOTAL ORDER |
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| Question?
Just call… |
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| Gloria Groeliker 519-752-0433 |
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| Julie Lowe 519-752-4230 |
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| Brantford Christian School
519-752-0433 |
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| "Thank You
for Supporting the Brantford Christian School" |
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