Name ______Date______Name ______Date______2% Tuition credit available on purchases exceeding that discount rate. 2% Tuition credit available on purchases exceeding that discount rate. QTY QTY Aeropostale 7% $25 Aeropostale 7% $25 Altona 8% $25 Altona 8% $25 Amazon.com 4% $25 Amazon.com 4% $25 American Eagle 10% $25 American Eagle 10% $25 Applebee's 8% $25 Applebee's 8% $25 Barnes & Noble 9% $10,25 Barnes & Noble 9% $10,25 Bath & Body 20% $10 Bath & Body 20% $10 Best Buy 3% $25 Best Buy 3% $25 BP Gas 1.5% $50,100 BP Gas 1.5% $50,100 Buffalo Wild Wings 8% $25 Buffalo Wild Wings 8% $25 Cabela's 11% $25 Cabela's 11% $25 Cenex 3% $25,100 Cenex 3% $25,100 Chili's 11% $25 Chili's 11% $25 Citgo 2% $50,100 Citgo 2% $50,100 Claire's 9% $10 Claire's 9% $10 Cold Stone Creamery 8% $10 Cold Stone Creamery 8% $10 Cousin's 9% $10 Cousin's 9% $10 Culver's 5% $10 Culver's 5% $10 Dairy Queen 3% $10 Dairy Queen 3% $10 Fazoli's 7% $25 Fazoli's 7% $25 Fleet Farm 5% 10,25,50,100 Fleet Farm 5% 10,25,50,100 Gap/Old Navy 9% $25 Gap/Old Navy 9% $25 Gordman's 7% $25 Gordman's 7% $25 Home Depot 4% $25 Home Depot 4% $25 iTunes 5% $15 iTunes 5% $15 JoAnn's 6% $25 JoAnn's 6% $25 Kohls 4% $25,100 Kohl's 4% $25,100 Kiwk Trip 5% 25,50,100 Kwik Trip $5 25,50,100 Marcus Theatre 9% $25 Marcus Theatre 9% $25 McDonald's 5% $10 McDonald's 5% $10 Menard's 4% 25,50,100 Menard's 4% 25,50,100 Noodles & Co. 8% $10 Noodles & Co. 8% $10 Office Max 5% $25 Office Max 5% $25 Panda Express 8% $25 Panda Express 8% $25 Panera Bread 9% $10 Panera Bread 9% $10 Payless Shoes 13% $20 Payless Shoes 13% $20 Pick N' Save (Roundy's) 4% $25,50 Pick N' Save (Roundy's) 4% $25,50 Piggly Wiggly 3% 25,50,100 Piggly Wiggly 3% 25,50,100 Pizza Hut 8% $10 Pizza Hut 8% $10 Red Lobster/Olive Garden 9% $25 Red Lobster/Olive Garden 9% $25 Red Robin 11% $25 Red Robin 11% $25 Riverview 10% $10,20 Riverview 10% $10,20 Schwarz's 10% $25, 50 Schwarz's 10% $25, 50 Sears 4% $25 Sears 4% $25 Shopko 3% $25, 100 Shopko 3% $25, 100 Subway 3% $10 Subway 3% $10 Taco Bell 5% $10 Taco Bell 5% $10 Target 2% $25, 100 Target 2% $25, 100 T.J. Maxx 7% $25 T.J. Maxx 7% $25 Texas Roadhouse 8% $25 Texas Roadhouse 8% $25 Walgreens 6% $25 Walgreens 6% $25 Wal Mart 2.5% $25, 100 Wal Mart 2.5% $25, 100 Younkers/Boston Store 8% $25 Younkers/Boston Store 8% $25 Web Pro / Weber Oil 1% $5,20,50 Web Pro / Weber Oil 1% $5,20,50 TOTAL THIS ORDER TOTAL THIS ORDER Cash ______Check ______Cash ______Check ______Payable to: St. Ann Scrip Payable to: St. Ann Scrip

2% credit applied to ______2% credit applied to ______