Ilan Ramon Day School/Agoura, CA

Family Order Form Created: 12/7/2020 1:27:06 PM Ilan Ramon Day School/Agoura, CA The Scrip Program is a fantastic way we can raise money for our school! Please consider placing your order today! If you have any questions please contact Megan Akiva at [email protected]

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total 76 Gas $100.00 1.5% $ Bloomingdale's $25.00 12% $ Denny's $10.00 7% $

76 Gas $25.00 1.5% $ Buca di Beppo $25.00 8% $ Dick's Sporting Goods 8% $ $100.00 Ace Hardware $100.00 4% $ Budget Car Rental 8% $ $50.00 Dick's Sporting Goods 8% $ Ace Hardware $25.00 4% $ $25.00 Build-A-Bear 8% $ Workshop® $25.00 Discover Gift Card - No 1.25% $ Advance Auto Parts 7% $ Activation Fee $100.00 $25.00 buybuyBABY $100.00 7% $ Disney $100.00 3% $ Amazon.com $100.00 2.25% $ buybuyBABY $25.00 7% $ Disney $1000.00 3% $ Amazon.com $25.00 2.25% $ California Pizza Kitchen 8% $ Disney $25.00 3% $ AMC Theatres $25.00 8% $ $25.00 CB2 $100.00 8% $ Domino's $10.00 8% $ AMC Theatres Single 10% $ Ticket $12.00 CB2 $25.00 8% $ Dunkin' Donuts $10.00 3% $ American Girl $100.00 9% $ Century Theatres 4% $ Dunkin' Donuts $25.00 3% $ American Girl $25.00 9% $ $25.00 Einstein Bros. Bagels 10% $ Chart House $100.00 9% $ Applebee's $25.00 8% $ $10.00 Chart House $25.00 9% $ El Pollo Loco $10.00 6% $ Applebee's $50.00 8% $ Cheesecake Factory 5% $ Express $25.00 10% $ ARCO $100.00 1.5% $ $25.00 Exxon $250.00 1% $ ARCO $250.00 1.5% $ Children's Place $25.00 12% $ Exxon $50.00 1% $ ARCO $50.00 1.5% $ Chili's Grill & Bar $25.00 11% $ Fairmont Hotels 9% $ Athleta $100.00 14% $ Chili's Grill & Bar $50.00 11% $ $100.00 Athleta $25.00 14% $ Chipotle Mexican Grill 10% $ Famous Footwear 8% $ $10.00 $25.00 Banana Republic 14% $ Chipotle Mexican Grill 10% $ Finish Line $25.00 10% $ $100.00 $25.00 Banana Republic 14% $ Fleming's Prime 10% $ Chuck E. Cheese's 8% $ Steakhouse $25.00 $25.00 $10.00 Barnes & Noble $10.00 8% $ Fleming's Prime 10% $ Claim Jumper $100.00 9% $ Steakhouse $50.00 Barnes & Noble 8% $ Claim Jumper $25.00 9% $ Foot Locker $25.00 8% $ $100.00 Barnes & Noble $25.00 8% $ Claire's $10.00 9% $ GameStop $25.00 3% $

Bath & Body Works 12% $ Coffee Bean & Tea Leaf 9% $ Gap $100.00 14% $ $10.00 $25.00 Gap $25.00 14% $ Bath & Body Works 12% $ Cold Stone Creamery 11% $ $25.00 $10.00 Gap Factory $25.00 14% $ Bed Bath & Beyond 7% $ Container Store 9% $ $100.00 $100.00 Groupon.com $25.00 7% $ Bed Bath & Beyond 7% $ Container Store $25.00 9% $ Hallmark $25.00 4% $ $25.00 Crate and Barrel 8% $ Harry & David $50.00 12% $ Best Buy $100.00 4% $ $100.00 HomeGoods $100.00 7% $ Best Buy $25.00 4% $ Crate and Barrel $25.00 8% $ HomeGoods $25.00 7% $ Best Buy $250.00 4% $ Crew Cuts $25.00 13% $ Icing $10.00 9% $ Big 5 Sporting Goods 8% $ CVS Pharmacy $100.00 6% $ $25.00 CVS Pharmacy $25.00 6% $ IHOP $25.00 8% $ Blaze Pizza $25.00 10% $ Del Taco $10.00 7% $ Islands $25.00 8% $ Bloomingdale's $100.00 12% $

Make Checks Payable To: Ilan Ramon Day School Total Due All Columns: $ Family Order Form Created: 12/7/2020 1:27:06 PM Ilan Ramon Day School/Agoura, CA The Scrip Program is a fantastic way we can raise money for our school! Please consider placing your order today! If you have any questions please contact Megan Akiva at [email protected]

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total J. Crew $25.00 13% $ McCormick & Schmick's 9% $ Pottery Barn Kids 8% $ $25.00 $100.00 Jack in the Box $10.00 4% $ Men's Wearhouse 8% $ Pottery Barn Kids 8% $ Jiffy Lube $30.00 8% $ $25.00 $25.00 Michaels $25.00 4% $ Qdoba Mexican Grill 7% $ Jo-Ann Fabric and Craft 6% $ $25.00 Stores $25.00 Mobil $250.00 1% $ Rainforest Cafe $100.00 9% $ Journeys $25.00 10% $ Mobil $50.00 1% $ Rainforest Cafe $25.00 9% $ Kids Foot Locker $25.00 8% $ Morton's Steakhouse 9% $ Red Robin $25.00 8% $ Kmart $25.00 4% $ $100.00 Morton's Steakhouse 9% $ Regal $25.00 8% $ Kmart $50.00 4% $ $25.00 Regis Salons $25.00 8% $ Kohl's $100.00 4% $ Neiman Marcus $50.00 12% $ REI $25.00 8% $ Kohl's $25.00 4% $ Nike $25.00 12% $ Rite Aid $25.00 4% $ L.L.Bean $100.00 16% $ Noah's Bagels $10.00 10% $ Ross Dress for Less 8% $ L.L.Bean $25.00 16% $ NOOK by Barnes & 8% $ $25.00 Noble $10.00 Lady Foot Locker 8% $ Ruth's Chris Steak 10% $ NOOK by Barnes & 8% $ House $50.00 $25.00 Noble $100.00 Sally Beauty $25.00 12% $ Landry's Seafood 9% $ NOOK by Barnes & 8% $ $25.00 Noble $25.00 Sam's Club $100.00 2.5% $ Lands' End $100.00 15% $ Nordstrom $100.00 4% $ Sam's Club $25.00 2.5% $ Lands' End $25.00 15% $ Nordstrom $25.00 4% $ Sam's Club $250.00 2.5% $ Lands' End Kids 15% $ Nordstrom Rack 4% $ $100.00 $100.00 Sears $100.00 4% $ Lands' End Kids $25.00 15% $ Nordstrom Rack $25.00 4% $ Sears $25.00 4% $ Lands' End School 15% $ Office Depot / Office 5% $ Sears $250.00 4% $ $100.00 Max $100.00 Lands' End School 15% $ Office Depot / Office 5% $ Sears Auto Service 4% $ $25.00 Max $25.00 Center $100.00 Lane Bryant® $25.00 8% $ Old Navy $100.00 14% $ Sears Auto Service 4% $ Center $25.00 Little Caesars Pizza 8% $ Old Navy $25.00 14% $ $20.00 Sears Auto Service 4% $ Center $250.00 Lowe's $100.00 4% $ Outback Steakhouse 10% $ $25.00 See's Candies $25.00 9% $ Lowe's $1000.00 4% $ Overstock.com $25.00 8% $ Shell $100.00 1.5% $ Lowe's $20.00 4% $ Panera Bread $10.00 8% $ Shell $25.00 1.5% $ Lowe's $25.00 4% $ Panera Bread $25.00 8% $ Shell $50.00 1.5% $ Lowe's $500.00 4% $ Papa John's Pizza 8% $ Shutterfly $25.00 9% $ $10.00 Macy's $100.00 10% $ PBteen $25.00 8% $ Smart & Final $100.00 3% $ Macy's $25.00 10% $ PetSmart $25.00 5% $ Smart & Final $25.00 3% $ Maggiano's Little Italy 11% $ $25.00 Pizza Hut $10.00 8% $ Smart & Final $50.00 3% $

Maggiano's Little Italy 11% $ Popcorn Factory $50.00 12% $ Smashburger $10.00 10% $ $50.00 Pottery Barn $100.00 8% $ Spafinder Wellness 365 15% $ Marshalls $100.00 7% $ $25.00 Marshalls $25.00 7% $ Pottery Barn $25.00 8% $ Sprouts Farmers Market 5% $ $100.00

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Sprouts Farmers Market 5% $ Zappos.com $100.00 8% $ $25.00 Zappos.com $25.00 8% $ Sprouts Farmers Market 5% $ $50.00 Staples $100.00 5% $

Staples $25.00 5% $

Starbucks $10.00 7% $

Starbucks $25.00 7% $

Subway Restaurants 6% $ $10.00 Subway Restaurants 6% $ $50.00 T.J. Maxx $100.00 7% $

T.J. Maxx $25.00 7% $

T.J. 7% $ Maxx/Marshalls/HomeG oods/Sierra $100.00 T.J. 7% $ Maxx/Marshalls/HomeG oods/Sierra $25.00 Taco Bell $10.00 5% $

Target $100.00 2.5% $

Target $25.00 2.5% $

Target $50.00 2.5% $

TGI Fridays $25.00 9% $

The Home Depot® 4% $ $100.00 The Home Depot® 4% $ $1000.00 The Home Depot® 4% $ $25.00 The Home Depot® 4% $ $500.00 ULTA $25.00 4% $

Walgreens $100.00 5% $

Walgreens $25.00 5% $

Walmart $100.00 2.5% $

Walmart $25.00 2.5% $

Walmart $250.00 2.5% $

Wendy's $10.00 6.5% $

West Elm $25.00 8% $

Williams Sonoma 8% $ $100.00 Williams Sonoma 8% $ $25.00

Make Checks Payable To: Ilan Ramon Day School Total Due All Columns: $