| 11/1/2011 |
SUMMIT TRIP CERTIFICATE ORDER FORM |
|
| NAME ___________________________________________ PHONE # _____________________________ DATE _______________________ |
|
| Account #_________________________________________ |
_____ Pick Up by Self (Weds. After 12 noon) |
|
_____Send Home With Student _______________________________ |
| If you would like to receive TRIP reminders by email, supply |
Grade/Teacher _______________________________________ |
| email here:_______________________________________ |
_____ Send Home With Parent ________________________________ |
| Orders must be in the school office by 9am Wednesday. |
*Go to TRIPCONSULTANTSLLC.COM for TRIP information. |
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|
| GROCERY & FOOD |
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|
Hard Rock Café |
9.74% |
$ 25.00 x _____=_________ |
| Acme ($100/$250) |
4.50% |
$ 25.00 x _____=_________ |
|
Hoggy's |
4.50% |
$ 25.00 x _____=_________ |
| Buehler's Foods($100) |
2.50% |
$ 25.00 x _____=_________ |
|
Honeybaked Ham($50) |
14.50% |
$ 10.00 x _____=_________ |
| GIANT EAGLE ($100/$500) |
4.50% |
$ 25.00 x _____=_________ |
|
iHop |
7.74% |
$ 25.00 x _____=_________ |
| Heinen’s($100) |
4.50% |
$ 25.00 x _____=_________ |
|
*KFC |
9.00% |
$ 5.00 x _____=_________ |
| Marc's ($100) |
2.00% |
$ 25.00 x _____=_________ |
|
*Long John Silvers |
8.00% |
$ 5.00 x _____=_________ |
| Miles Farm Market |
4.50% |
$ 25.00 x _____=_________ |
|
*Malley’s Candy |
19.50% |
$ 10.00 x _____=_________ |
| *Mustard Seed ($25) |
4.50% |
$ 10.00 x _____=_________ |
|
Mangia Mangia ($50) |
10.00% |
$ 20.00 x _____=_________ |
| Pepper's Market |
3.50% |
$ 10.00 x _____=_________ |
|
*Marcelita's (Hudson) |
9.00% |
$ 20.00 x _____=_________ |
| Gordon Foods ($100) |
3.74% |
$ 25.00 x _____=_________ |
|
Mavis Winkle's (Twins.) |
10.00% |
$ 20.00 x _____=_________ |
| Whole Foods ($100) |
2.74% |
$ 25.00 x _____=_________ |
|
McDonald's($25) |
1.00% |
$ 15.00 x _____=_________ |
| AUTOMOTIVE |
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|
Melting Pot |
18.00% |
$ 25.00 x _____=_________ |
| Advance Auto Parts |
6.74% |
$ 25.00 x _____=_________ |
|
*Mr. Chicken |
9.50% |
$ 5.00 x _____=_________ |
| Auto Zone |
7.74% |
$ 25.00 x _____=_________ |
|
Mr. Hero |
11.50% |
$ 5.00 x _____=_________ |
| BP |
2.00% |
$ 50.00 x _____=_________ |
|
O'Charleys |
14.74% |
$ 25.00 x _____=_________ |
| Chevron/Texaco($100) |
1.24% |
$ 50.00 x _____=_________ |
|
Olive Gard/Red Lobster/ |
9.50% |
$ 25.00 x _____=_________ |
| Circle K |
2.00% |
$ 25.00 x _____=_________ |
|
Bahama Breeze/Longhorn Steakhouse |
| Exxon / Mobil($250) |
1.24% |
$ 50.00 x _____=_________ |
|
Omaha Steaks |
10.74% |
$ 25.00 x _____=_________ |
| Finish Line Car Wash (Solon) |
49.00% |
$ 25.00 x _____=_________ |
|
Outback/Bonefish Grill/Carabbas |
8.00% |
$ 25.00 x _____=_________ |
| *Lube Stop |
28.00% |
$ 35.00 x _____=_________ |
|
P.F. Chang's |
8.00% |
$ 25.00 x _____=_________ |
| Marathon ($100/$250) |
2.74% |
$ 25.00 x _____=_________ |
|
Panera's ($25/$50) |
9.50% |
$ 10.00 x _____=_________ |
| Sheetz Gas ($100) |
2.74% |
$ 25.00 x _____=_________ |
|
Papa John's Pizza |
7.74% |
$ 10.00 x _____=_________ |
| Shell Gas ($50/$100) |
2.24% |
$ 25.00 x _____=_________ |
|
Pizza Hut |
8.00% |
$ 20.00 x _____=_________ |
| Speedway ($50/$100/$250) |
4.50% |
$ 25.00 x _____=_________ |
|
Pizzazz (Mayfield) |
9.00% |
$ 25.00 x _____=_________ |
| Sunoco($250) |
1.24% |
$ 50.00 x _____=_________ |
|
Qdoba Mexican |
6.74% |
$ 25.00 x _____=_________ |
| RESTAURANTS |
|
|
|
Quaker Steak & Lube |
4.50% |
$ 25.00 x _____=_________ |
| Applebees |
9.50% |
$ 25.00 x _____=_________ |
|
Quizno's |
10.00% |
$ 10.00 x _____=_________ |
| Arby’s |
7.74% |
$ 10.00 x _____=_________ |
|
Red Robin Restaurant |
10.74% |
$ 25.00 x _____=_________ |
| Baja Fresh |
6.74% |
$ 25.00 x _____=_________ |
|
Ruby Tuesday |
8.00% |
$ 25.00 x _____=_________ |
| *Baskin Robbins |
8.74% |
$ 2.00 x _____=_________ |
|
Spaghetti Warehouse |
18.00% |
$ 10.00 x _____=_________ |
| Bob Evans ($25) |
14.50% |
$ 10.00 x _____=_________ |
|
Starbucks ($25) |
7.00% |
$ 10.00 x _____=_________ |
| Boston Market |
12.00% |
$ 10.00 x _____=_________ |
|
Steak 'n Shake |
8.00% |
$ 10.00 x _____=_________ |
| Bravo/Brio |
13.00% |
$ 25.00 x _____=_________ |
|
Subway ($25) |
4.50% |
$ 10.00 x _____=_________ |
| Bruegger's Bagels |
6.74% |
$ 10.00 x _____=_________ |
|
T.G.I. Fridays |
9.00% |
$ 10.00 x _____=_________ |
| Burger King |
4.00% |
$ 10.00 x _____=_________ |
|
Taco Bell |
4.74% |
$ 10.00 x _____=_________ |
| BW3 |
8.00% |
$ 20.00 x _____=_________ |
|
Texas Roadhouse |
9.50% |
$ 25.00 x _____=_________ |
| California Pizza Kitchen |
3.74% |
$ 10.00 x _____=_________ |
|
Tim Horton's |
4.74% |
$ 10.00 x _____=_________ |
| Carrabbas(Outback) |
8.00% |
$ 25.00 x _____=_________ |
|
Wendy’s |
4.00% |
$ 10.00 x _____=_________ |
| Champps |
7.74% |
$ 25.00 x _____=_________ |
|
*Zeppe's Pizza |
10.00% |
$ 10.00 x _____=_________ |
| Cheesecake Factory |
4.74% |
$ 25.00 x _____=_________ |
|
MERCHANTS |
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|
| Chili’s /Macaroni Grill/Maggiano |
10.74% |
$ 25.00 x _____=_________ |
|
Ace Hardware ($100) |
3.74% |
$ 25.00 x _____=_________ |
| Chipotle ($25) |
9.75% |
$ 10.00 x _____=_________ |
|
Aeropostale |
6.74% |
$ 25.00 x _____=_________ |
| Chuck E. Cheese's |
8.00% |
$ 10.00 x _____=_________ |
|
Amazon.com($100) |
4.50% |
$ 25.00 x _____=_________ |
| Claddagh's Irish Pub |
10.00% |
$ 20.00 x _____=_________ |
|
American Eagle/aerie |
9.74% |
$ 25.00 x _____=_________ |
| Cold Stone Creamery |
8.00% |
$ 10.00 x _____=_________ |
|
Barnes&Noble/B.Dalton($10) |
8.74% |
$ 25.00 x _____=_________ |
| Cracker Barrel |
9.00% |
$ 10.00 x _____=_________ |
|
Bass Pro Shops($100) |
9.00% |
$ 25.00 x _____=_________ |
| *Crazy But True (Hudson) |
9.00% |
$ 10.00 x _____=_________ |
|
Bath & Body ($25) |
12.74% |
$ 10.00 x _____=_________ |
| *Dairy Queen (Twin/Hudson) |
9.00% |
$ 5.00 x _____=_________ |
|
Bed Bath & Beyond($100) |
6.74% |
$ 25.00 x _____=_________ |
| Dave & Buster's |
12.74% |
$ 25.00 x _____=_________ |
|
Best Buy ($100/$250) |
3.74% |
$ 25.00 x _____=_________ |
| *Denny’s |
7.00% |
$ 10.00 x _____=_________ |
|
Best Cuts |
7.74% |
$ 25.00 x _____=_________ |
| Domino’s Pizza |
7.74% |
$ 10.00 x _____=_________ |
|
Books by the Park/Café |
4.00% |
$ 25.00 x _____=_________ |
| Donato's Pizza |
10.00% |
$ 10.00 x _____=_________ |
|
Brooks Brothers |
15.74% |
$ 25.00 x _____=_________ |
| Dunkin Donuts |
3.74% |
$ 10.00 x _____=_________ |
|
Buckle |
7.74% |
$ 25.00 x _____=_________ |
| Eat 'n Park($25) |
9.74% |
$ 10.00 x _____=_________ |
|
Build-A-Bear |
8.00% |
$ 25.00 x _____=_________ |
| Einstein Bagels |
9.74% |
$ 10.00 x _____=_________ |
|
Burlington Coat Factory |
8.00% |
$ 25.00 x _____=_________ |
| Fannie May |
24.74% |
$ 10.00 x _____=_________ |
|
Cabela’s ($100) |
10.74% |
$ 25.00 x _____=_________ |
| Fleming's (Outback) |
8.00% |
$ 25.00 x _____=_________ |
|
Cinemark |
3.74% |
$ 25.00 x _____=_________ |
| Great Harvest Bread |
5.74% |
$ 10.00 x _____=_________ |
|
Claire’s/Icing |
9.00% |
$ 10.00 x _____=_________ |
| Handel's Ice Cream |
8.00% |
$ 10.00 x _____=_________ |
|
Container Store($100) |
8.74% |
$ 25.00 x _____=_________ |
| Hardee's |
4.74% |
$ 10.00 x _____=_________ |
|
Costco($100) |
1.00% |
$ 25.00 x _____=_________ |
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| MERCHANTS CONTINUED |
|
Nike |
11.74% |
$ 25.00 x _____=_________ |
| Crate and Barrel ($100) |
7.74% |
$ 25.00 x _____=_________ |
|
Nordstrom's($50) |
4.50% |
$ 25.00 x _____=_________ |
| Crazy 8 |
12.74% |
$ 25.00 x _____=_________ |
|
My Little Red Wagon (Hudson) |
9.00% |
$ 20.00 x _____=_________ |
| CVS Pharmacy($100) |
5.74% |
$ 25.00 x _____=_________ |
|
Office Max($50) |
4.75% |
$ 25.00 x _____=_________ |
| Dick’s Sporting ($100) |
8.00% |
$ 25.00 x _____=_________ |
|
Overstocks.com |
9.74% |
$ 25.00 x _____=_________ |
| Dillard’s ($100) |
9.00% |
$ 25.00 x _____=_________ |
|
P. Graham Dunn ($50) |
24% |
$ 25.00 x _____=_________ |
| Disney ($100 & $500) |
4.50% |
$ 25.00 x _____=_________ |
|
Pac Sun |
5.00% |
$ 25.00 x _____=_________ |
| Donzell's Garden Center |
3.00% |
$ 25.00 x _____=_________ |
|
*Pat Catan's |
9.50% |
$ 10.00 x _____=_________ |
| Dot's |
5.00% |
$ 25.00 x _____=_________ |
|
Payless Shoes |
12.74% |
$ 20.00 x _____=_________ |
| Dress Barn |
7.74% |
$ 25.00 x _____=_________ |
|
Peebles/Bealls Stores |
7.74% |
$ 25.00 x _____=_________ |
| Drug Mart |
2.50% |
$ 25.00 x _____=_________ |
|
Petco |
5.00% |
$ 25.00 x _____=_________ |
| DSW Shoes($50) |
5.00% |
$ 25.00 x _____=_________ |
|
PetSmart |
4.50% |
$ 25.00 x _____=_________ |
| Dunham's Sports |
7.74% |
$ 25.00 x _____=_________ |
|
Pier One Imports |
8.74% |
$ 25.00 x _____=_________ |
| Eddie Bauer |
9.74% |
$ 25.00 x _____=_________ |
|
Radio Shack |
3.74% |
$ 25.00 x _____=_________ |
| Elder-Beerman |
8.00% |
$ 25.00 x _____=_________ |
|
Regal Cinemas/UA |
7.74% |
$ 25.00 x _____=_________ |
| Express/Structure |
9.74% |
$ 25.00 x _____=_________ |
|
Regis Salons/Best Cuts |
7.74% |
$ 25.00 x _____=_________ |
| Family Christian Stores |
8.74% |
$ 25.00 x _____=_________ |
|
REI |
7.74% |
$ 25.00 x _____=_________ |
| Fashion Bug/Lane Bryant |
6.00% |
$ 25.00 x _____=_________ |
|
*Restoration Hardw. ($100) |
11.74% |
$ 25.00 x _____=_________ |
| Finish Line |
9.74% |
$ 25.00 x _____=_________ |
|
Ritchies Sports (Tall.) |
9.00% |
$ 25.00 x _____=_________ |
| Foot Locker |
8.74% |
$ 25.00 x _____=_________ |
|
Rite Aid |
4.00% |
$ 25.00 x _____=_________ |
| Forever 21 ($50) |
5.00% |
$ 25.00 x _____=_________ |
|
Sally Beauty |
11.74% |
$ 25.00 x _____=_________ |
| Game Stop/EB Games |
4.50% |
$ 25.00 x _____=_________ |
|
Sears ($100) |
4.50% |
$ 25.00 x _____=_________ |
| Gander Mountain |
9.00% |
$ 25.00 x _____=_________ |
|
Sephora |
4.50% |
$ 25.00 x _____=_________ |
| Gap/Old Navy/Ban Rep |
13.74% |
$ 25.00 x _____=_________ |
|
Shoe Carnival |
5.00% |
$ 25.00 x _____=_________ |
| GNC |
7.74% |
$ 25.00 x _____=_________ |
|
Shutterfly.com |
13.74% |
$ 25.00 x _____=_________ |
| Golfsmith |
7.74% |
$ 25.00 x _____=_________ |
|
Staples |
4.75% |
$ 25.00 x _____=_________ |
| Great Clips |
7.74% |
$ 25.00 x _____=_________ |
|
Steinmart |
4.00% |
$ 20.00 x _____=_________ |
| Groupon.com |
6.74% |
$ 25.00 x _____=_________ |
|
Talbots |
12.74% |
$ 25.00 x _____=_________ |
| Guitar Center |
3.74% |
$ 25.00 x _____=_________ |
|
Target($100) |
2.00% |
$ 25.00 x _____=_________ |
| Gymboree |
12.74% |
$ 25.00 x _____=_________ |
|
The Children’s Place |
12.00% |
$ 25.00 x _____=_________ |
| Hallmark |
3.74% |
$ 25.00 x _____=_________ |
|
T.J. Maxx/Marshall($100) |
7.00% |
$ 25.00 x _____=_________ |
| Harry & David |
9.74% |
$ 25.00 x _____=_________ |
|
Toys/Kids/BabyRUs($50) |
4.50% |
$ 25.00 x _____=_________ |
| Hartville Hardware($100) |
3.00% |
$ 25.00 x _____=_________ |
|
Walgreen's ($100) |
5.74% |
$ 25.00 x _____=_________ |
| H&M ($50) |
5.00% |
$ 25.00 x _____=_________ |
|
Wet Seal |
4.74% |
$ 25.00 x _____=_________ |
| Home Depot ($100/$500) |
5.00% |
$ 25.00 x _____=_________ |
|
Wm. Sonoma/Ptry. Barn($100) |
7.74% |
$ 25.00 x _____=_________ |
| iTunes($25) |
4.50% |
$ 15.00 x _____=_________ |
|
Zappos.com |
7.74% |
$ 25.00 x _____=_________ |
| J. Crew |
12.74% |
$ 25.00 x _____=_________ |
|
Walmart/Sam's($100/$250) |
2.00% |
$ 25.00 x _____=_________ |
| J. Jill |
7.74% |
$ 25.00 x _____=_________ |
|
GREAT EXTRAS/TRAVEL |
| JC Penney ($50) |
4.75% |
$ 25.00 x _____=_________ |
|
American Express($100) |
1.00% |
$25.00 x _____=_________ |
| Joann's |
5.74% |
$ 20.00 x _____=_________ |
|
American Airlines.com |
7.74% |
$100.00 x _____=_________ |
| Journey's |
9.74% |
$ 25.00 x _____=_________ |
|
AT&T Phone Card (125min) |
19.74% |
$ 9.50 x _____=_________ |
| Justice/Limited 2 |
5.00% |
$ 25.00 x _____=_________ |
|
*Avis Rent A Car |
7.74% |
$ 50.00 x _____=_________ |
| *Kid's Kloset Uniforms (CF) |
9.00% |
$ 25.00 x _____=_________ |
|
BedandBreakfast.com |
9.74% |
$ 50.00 x _____=_________ |
| Kmart($50) |
4.50% |
$ 25.00 x _____=_________ |
|
Best Western Hotels($100) |
11.74% |
$25.00 x _____=_________ |
| **Kohl’s ($100) |
4.50% |
$ 25.00 x _____=_________ |
|
*Budget Car Rental |
7.74% |
$ 50.00 x _____=_________ |
| L L Bean ($100) |
16.74% |
$ 25.00 x _____=_________ |
|
*Carnival Cruises |
7.74% |
$100.00 x _____=_________ |
| Land’s End ($100) |
15.74% |
$ 25.00 x _____=_________ |
|
*Celebrity Cruises |
8.74% |
$100.00 x _____=_________ |
| Limited |
8.74% |
$ 25.00 x _____=_________ |
|
Comfort Inn/Clarion($100) |
3.74% |
$ 50.00 x _____=_________ |
| *Logos Bookstore (Kent) |
9.00% |
$ 15.00 x _____=_________ |
|
Gift Card Wrappers(10) |
10.00% |
$ 2.00 x _____=_________ |
| Lowe’s ($100 & $500) |
4.50% |
$ 25.00 x _____=_________ |
|
*Hyatt Hotels($100) |
9.00% |
$25.00 x _____=_________ |
| MC Sports |
7.74% |
$ 25.00 x _____=_________ |
|
Marriott Hotels($100/$500) |
9.74% |
$25.00 x _____=_________ |
| Macy's($100) |
9.74% |
$ 25.00 x _____=_________ |
|
*Nina/michelle's (Twins.) |
9.00% |
$ 25.00 x _____=_________ |
| Maurice's |
6.74% |
$ 20.00 x _____=_________ |
|
Nutrisystem |
11.74% |
$ 50.00 x _____=_________ |
| *Menards ($100) |
3.00% |
$ 20.00 x _____=_________ |
|
*Oscar Giovanni (Concord) |
3.00% |
$ 25.00 x _____=_________ |
| Men's Wearhouse |
7.74% |
$ 25.00 x _____=_________ |
|
*Ritz-Carlton |
7.74% |
$ 50.00 x _____=_________ |
| Michaels |
4.50% |
$ 25.00 x _____=_________ |
|
Servicemaster/Merry Maids |
4.74% |
$ 50.00 x _____=_________ |
| Motherhood Maternity |
7.74% |
$ 25.00 x _____=_________ |
|
Studio Wish Salon |
9.00% |
$ 25.00 x _____=_________ |
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| GRAND TOTAL ENTIRE ORDER: TOTAL $ AMOUNT: _________________ |
| CHECKS ONLY PLEASE – PAYABLE TO Summit T.R.I.P. CHECK #: __________________________ |
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NAME:________________________ |
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| NOTES: * Indicates paper gift certificate. ($100) indicates larger denomination available. Please circle ($100) if you would prefer. |
| **Kohl's gift cards purchased through TRIP can be used to pay Kohl's credit card balances. |
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| Certificates are not subject to return or replaced. All % subject to change without notice. Merchants in BOLD are new. |
| Merchants in ITALICS are only accepted at indicated locations. Any order discrepancies must be reported within 24 hours. |
| Questions regarding order pick-up or delivery contact your school. Go to TRIPCONSULTANTSLLC.COM for TRIP information. |