| Brantford Christian School - TRIP Order Form | ||||||||||
| Name:______________________________________________________ | Phone #: | |||||||||
| Name of BCS Family to apply to: _______________________________________________________________________ | ||||||||||
| To go home with: __________________________ | Grade: | □ I will pick up my order | ||||||||
| Payment: | □ Cash | □ Cheque | □ Post-dated Cheque | |||||||
| □ Please send me more order forms. | ||||||||||
| Order forms available on BCS website: www.bcsbrantford.ca | ||||||||||
| 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. | ||||||||||
| MERCHANT | DENOMINATIONS | |||||||||
| % | Qty | Qty | Qty | Qty | TOTAL | |||||
| The following are available for immediate purchase (subject to availability). Order form must be filled out | ||||||||||
| A&P/Dominion/The Barn/Ultra Food & Drug/Food Basics | 5.0% | $10 | $20 | $25 | $50 | |||||
| Canadian Tire | 5.0% | $10 | $25 | $50 | $100 | |||||
| HBC: The Bay/Zellers/Home Outfitters | 3.0% | $25 | $50 | $100 | ||||||
| Home Depot | 2.0% | $50 | $100 | $250 | $1,000 | |||||
| Home Hardware/Home Furniture | 3.5% | $25 | $50 | $100 | ||||||
| Loblaws/Fortinos/No Frills/Valu-Marts/Zehrs | 5.0% | $25 | $50 | $100 | $250 | |||||
| Petro-Canada | 2.0% | $25 | $50 | $100 | ||||||
| Pioneer Petroleum | 1.5% | $25 | $100 | |||||||
| Sears/Sears Home/Sears Travel | 3.0% | $25 | $50 | $100 | $500 | |||||
| Sobeys/IGA/Price Chopper/ Foodland/FoodTown/Commissos | 5.0% | $5 | $10 | $25 | $50 | |||||
| Tim Hortons | 5.0% | $5 | $10 | |||||||
| Retailers listed below can be available the following Wednesday. | ||||||||||
| Blockbuster | 5.0% | $10 | $20 | |||||||
| Cara/Kelsey's/Montana/Outback/Milestone's/Swiss Chalet | 3.0% | $25 | $50 | |||||||
| Chapter's/Coles | 10.0% | $10 | $25 | |||||||
| East Side Mario's/Casey's/Prime Pubs | 8.0% | $25 | ||||||||
| EB Games | 3.0% | $25 | ||||||||
| Famous Players-Admit One Passes | 10.0% | $10 | ||||||||
| Subtotal: | ||||||||||
| MERCHANT | DENOMINATIONS | |||||||||
| % | Qty | Qty | Qty | Qty | TOTAL | |||||
| Jack Astor's/Alice Fazooli's | 10.0% | $25 | ||||||||
| Keg Restaurants | 8.0% | $25 | $50 | $100 | ||||||
| Laura Secord | 15.0% | $10 | $25 | |||||||
| M&M Meat Shops | 3.0% | $10 | $25 | |||||||
| Mark's Work Warehouse | 7.0% | $25 | $50 | $100 | ||||||
| Old Navy | 7.0% | $25 | ||||||||
| Payless Shoes | 10.0% | $25 | ||||||||
| Pharmaplus/Resall Drug Stores | 5.0% | $25 | $50 | $100 | ||||||
| Pizza Pizza (Book of 5 x $5) | 10.0% | $25 | ||||||||
| Rainbow Cinemas & Magic Lantern Theatres | 5.0% | $10 | ||||||||
| Scholar's Choice | 5.0% | $25 | ||||||||
| Shoppers Drug Mart | 3.0% | $25 | $50 | $100 | ||||||
| Sport Chek/Coast Mountain Stores | 5.0% | $25 | $50 | |||||||
| STAPLES Business Depot | 3.0% | $25 | $50 | $100 | $250 | |||||
| Toys R Us | 2.0% | $25 | $50 | $100 | ||||||
| Ultramar (GAS ONLY) | 2.0% | $20 | ||||||||
| Wendy's Restaurants (Bk of 5x$5) | 5.0% | $25 | ||||||||
| Winners/Homesense | 7.0% | $25 | $50 | $100 | ||||||
| Others: (See list posted on BSC website: www.bcsbrantford.ca) | ||||||||||
| SUBTOTAL Pg. 2 | ||||||||||
| SUBTOTAL Pg. 1 | ||||||||||
| TOTAL ORDER | ||||||||||
| Question? Just call… | ||||||||||
| Gloria Groeliker 519-753-1621 | ||||||||||
| Julie Lowe 519-752-4230 | ||||||||||
| Brantford Christian School 519-752-0433 | ||||||||||
| "Thank You for Supporting the Brantford Christian School" | ||||||||||