MANNA
Effective 12/5/06 Please discard old forms Orders due by 9am Mondays
Parish Number: __ __ __ __			Phone: _______________________			Date: __________________________
Name: ____________________________________						Order Total: $___________________
Child's Name: _____________________________						I will Pick Up Order
Child's Home Room Number: _______________						Send Order with Messenger Child
CHECK TO ST. JOSEPH PARISH MUST BE STAPLED TO ORDER FORM
Please indicate Dollar Amount of each certificate you desire to purchase.
			Groceries & Gas
Jewel/Osco ##			Dominicks ##			Speedway ##
(5%) Debit Cards	X $25		(5%) Debit Cards	X $25		(5%) Debit Cards	X $25
Total:			Total:			Total:
Jewel/Osco ##			Shell Oil ##			BP Gas Card ##
(5%) Debit Cards	X $100		(3%) Debit Cards	X $25		(3%) Debit Cards	X $50
Total:			Total:			Total:
			Department Stores
TJ Maxx/Marshalls			JC Penney			Kohl's $10 ##
(7%) Certificates	X $25		(5%) Gift Cards	X $25		(3%) Gift Cards	X $10
Total:			Total:			Total:
Kohl's $50 ##			Bed Bath and Beyond			Macy's
(3%) Gift Cards	X $50		(7%) Gift Cards	X $25		(9%) Gift Cards	X $25
Total:			Total:			Total:
Carson Pirie Scott			Lord & Taylor			Eddie Bauer
(3%) Gift Cards	X $25		(5%) Gift Cards	X $25		(9%) Gift Cards	X $25
Total:			Total:			Total:
			Restaurants
Red Lobster/Olive Garden (Darden)			TGI Fridays			Burger King
(9%) Gift Cards	X $25		(9%) Gift Cards	X $25		(5%) Gift Cards	X $10
Total:			Total:			Total:
Giordano's			McDonald's ##			Caribou Coffee ##
(9%) Certificates	X $10		(5%) Book of 5 @ $1ea	X $5		(9%) Gift Cards	X $10
Total:			Total:			Total:
Outback Steakhouse			Wendy's			Lettuce Entertain You
(5%) Gift Cards	X $25		(10%) Book of 5 @ $2ea	X $10		(5%) Gift Cards	X $25
Total:			Total:			Total:
Landry's			Panera Bread ##			Every Day's A Sundae ##
(9%) Gift Cards	X $20		(9%) Gift Cards	X $10		(25%) Certificates	X $10
Total:			Total:			Total:
Starbucks ##			Great American Bagel			Chili's (6 in 1 card)
(8%) Gift Cards	X $10		(9%) Certificates	X $5		(12%) Gift Cards	X $25
Total:			Total:			Total:
Egg Harbor Café			Chuck E Cheese			Applebee's
(4%) Certificates	X $15		(9%) Gift Cards	X $10		(9%)	X $10
Total:			Total:			Total:
			ETCETERA
Blockbuster Video			Home Depot/Expo ##			Best Buy
(8%) Certificates	X $10		(4%) Debit Cards	X $25		(2%) Gift Cards	X $25
Total:			Total:			Total:
Anderson's Bookshop ##			Border's Books & Music			Menard's
(20%) Certificates	X $10		(9%) Certificates	X $10		(4%) Certificates	X $25
Total:			Total:			Total:
Dick's Sporting Goods			Sports Authority			Marriott, Fairfield Inn
(9%) Debit Cards	X $20		(9%) Certificates	X $25		(13%) Gift Cards	X $50
Total:			Total:			Total:
Hyatt Hotels			Bath & Body Works			Claire's
(9%) Certificates	X $25		(14%) Gift Cards	X $10		(7%) Gift Cards	X $10
Total:			Total:			Total:
Downtown Downers Grove ##			Toys-R-Us			Shoe Carnival
(10%) Certificates	X $10		(2%) Debit Cards	X $20		(5%)	X $25
Total:			Total:			Total:
The Gap/Old Navy			Express			American Eagle
(9%) Debit Cards	X $25		(14%)	X $20		(10%) Gift Cards	X $25
Total:			Total:			Total:
Sears			AMC/Loews			Tivoli/Classic Cinema ##
(5%) Gift Cards	X $25		(9%) Debit Cards	X $25		(10%) Debit Cards	X $10
Total:			Total:			Total:
Amazon.com			Build A Bear			Office Max
(5%) Certificates	X $25		(9%) Gift Cards	X $25		(5%) Gift Cards	X $25
Total:			Total:			Total:
Mario Tricoci			Ritz/Wolf Camera			Ulta3 Cosmetics
(9%) Certificates	X $25		(8%) Gift Cards	X $25		(4%) Gift Cards	X $10
Total:			Total:			Total:
Walgreens			Hair Cuttery			Home Run Inn ##
(3%) Debit Cards	X $20		(9%)	X $10		(30%)	X $10
Total:			Total:			Total:
Only Penney's and Kohl's accept Manna certificates/cards as payment on charge accounts
Certificates marked with ## are also available at the cash and carry table
Return this form by 9am Monday to the school office -or- Parish Center Mail Slot
Pre-orders cannot be processed during weeks that have no school on Monday.
Certificates ordered for pick up will be available at the cash and carry table on
Fridays at 9:30-10:45 am inside the school at the gym entrance.  OR,
after Saturday Mass 5 pm, Sunday 8:45 and 10:30 am in the Church Ministry Room.
Certificates ordered for delivery will be sent home on Thursdays in the School Messenger
Questions may be directed to Cindy Jagielo (241-3735) or Sue Errichiello (960-0835)