Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total 1-800-Baskets $50.00 12% $ ARCO $100.00 1.5% $ (Not FL, GA, AZ) 8% $ $25.00 1-800-Flowers $50.00 12% $ ARCO $250.00 1.5% $ Beauty Bar $25.00 8% $ 99 Restaurants $25.00 13% $ ARCO $50.00 1.5% $ Bed Bath & Beyond 7% $ A Pea in the Pod $25.00 8% $ Ascend Collection Hotel 4% $ $100.00 $100.00 Bed Bath & Beyond 7% $ A-Plus Convenience 1.5% $ $25.00 Store $250.00 Ascend Collection Hotel 4% $ $50.00 BedandBreakfast.com 10% $ A-Plus Convenience 1.5% $ $50.00 Store $50.00 Athleta $25.00 14% $ Belk $100.00 8% $ Acapulco Mexican 8% $ AutoZone $25.00 8% $ Restaurant y Cantina Belk $25.00 8% $ $25.00 Avis Car Rental $50.00 8% $ Ace Hardware $100.00 4% $ Bergdorf Goodman 12% $ Babbage's $25.00 3% $ $50.00 Ace Hardware $25.00 4% $ Babies"R"Us $100.00 3% $ Bergner's $100.00 8% $ adidas $25.00 13% $ Babies"R"Us $20.00 3% $ Bergner's $25.00 8% $

Advance Auto Parts 7% $ Babin's Seafood House 9% $ Bertucci¶s Italian 10% $ $25.00 $100.00 Restaurant $25.00 aerie $25.00 10% $ Babin's Seafood House 9% $ Best Buy® $100.00 3% $ $25.00 Aeropostale $25.00 10% $ Best Buy® $25.00 3% $ Baby Depot at 8% $ .com $10.00 3% $ Burlington Coat Factory Best Buy® $250.00 3% $ $25.00 Amazon.com $100.00 3% $ Bahama Breeze ® 9% $ Best Cuts $25.00 8% $ $25.00 Amazon.com $25.00 3% $ Best Western 12% $ Baja Fresh $25.00 7% $ International $100.00 AMC Theatres $10.00 8% $ Banana Republic 14% $ Best Western 12% $ AMC Theatres $25.00 8% $ $100.00 International $25.00 Banana Republic 14% $ Big 5 Sporting Goods 8% $ AMC Theatres Gold 10% $ $25.00 Ticket $9.50 $25.00 Big Bowl $25.00 12% $ American Eagle 10% $ Barnes & Noble $10.00 9% $ Outfitters $25.00 Barnes & Noble 9% $ Big Cedar Lodge 9% $ American Girl $100.00 9% $ $100.00 $100.00 Big Cedar Lodge $25.00 9% $ American Girl $25.00 9% $ Barnes & Noble $25.00 9% $ Big Fish $100.00 9% $ Andersons $100.00 4% $ Barnes & Noble $5.00 9% $ Big Fish $25.00 9% $ Andersons $25.00 4% $ Barnes & Noble College 9% $ Bookstores $10.00 Black Angus $25.00 12% $ Andersons Market 4% $ Barnes & Noble College 9% $ $100.00 Bookstores $100.00 Bloomingdale's $100.00 12% $ Andersons Market 4% $ Barnes & Noble College 9% $ Bloomingdale's $25.00 12% $ $25.00 Bookstores $25.00 Antico Posto $25.00 12% $ Bass Pro Shops 9% $ Bloomington 9% $ $100.00 Chophouse $100.00 Applebee's $10.00 8% $ Bass Pro Shops $25.00 9% $ Bloomington 9% $ Applebee's $25.00 8% $ Chophouse $25.00 Bath & Body Works 13% $ Blu Bar Lounge $100.00 9% $ Applebee's $50.00 8% $ $10.00 Blu Bar Lounge $25.00 9% $ Aquarium $100.00 9% $ Bath & Body Works 13% $ $25.00 Boardwalk Inn $100.00 9% $ Aquarium $25.00 9% $ bd's Mongolian Grill 8% $ $20.00 Boardwalk Inn $25.00 9% $ Arby's $10.00 8% $

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

Name Customer #

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Product % QTY Total Product % QTY Total Product % QTY Total Bob Evans $10.00 10% $ Burger King $10.00 4% $ Century Theatres 4% $ $25.00 Bon Vie Bistro $25.00 12% $ Burlington Coat Factory 8% $ $25.00 Century Theatres Single 10% $ Bon-Ton $100.00 8% $ Admit $9.50 buybuyBABY $100.00 7% $ Champs Sports $25.00 9% $ Bon-Ton $25.00 8% $ buybuyBABY $25.00 7% $ Charley's Crab $100.00 9% $ Bonefish Grill $10.00 8% $ Cabela's $100.00 11% $ Charley's Crab $25.00 9% $ Bonefish Grill $25.00 8% $ Cabela's $25.00 11% $ Chart House $100.00 9% $ Bonefish Grill $50.00 8% $ Cadillac Bar $100.00 9% $ Chart House $25.00 9% $ BoRics $25.00 8% $ Cadillac Bar $25.00 9% $ Cheesecake Factory 5% $ Boscov's $25.00 8% $ Cafe at The Pfister in 9% $ $25.00 $10.00 12% $ Milwaukee $100.00 Chevron $100.00 1.5% $ Cafe at The Pfister in 9% $ Boston Store $100.00 8% $ Milwaukee $25.00 Chevron $250.00 1.5% $ Boston Store $25.00 8% $ Cafe Ba-Ba-Reeba! 12% $ Chevron $50.00 1.5% $ $25.00 BP $100.00 1.5% $ Chevy's Fresh Mex 8% $ Cambria Suites $100.00 4% $ $25.00 BP $250.00 1.5% $ Cambria Suites $50.00 4% $ Children's Place $25.00 12% $

BP $50.00 1.5% $ Capitol ChopHouse 9% $ Chili's Grill & Bar $25.00 11% $ $100.00 Cucina Italiana 12% $ Chili's Grill & Bar $50.00 11% $ $25.00 Capitol ChopHouse 9% $ $25.00 Brenner's Steakhouse 9% $ Chipotle Mexican Grill 10% $ $100.00 Captain Crabs Take- 9% $ $10.00 Away $100.00 Brenner's Steakhouse 9% $ Choice Hotels $100.00 4% $ $25.00 Captain Crabs Take- 9% $ Away $25.00 Choice Hotels $50.00 4% $ Brio Tuscan Grille 12% $ $25.00 Carl's Jr. $10.00 5% $ Chop House Brewery 6% $ $25.00 Brooks Brothers $25.00 16% $ Carlton Hair 8% $ International $25.00 Christmas Tree Shops 7% $ Brooks Brothers 16% $ $100.00 Country Club Store Carnival Cruise Lines 8% $ $25.00 $100.00 Christmas Tree Shops 7% $ $25.00 Bruegger's Bagels 7% $ Carrabba's Italian Grill 8% $ $10.00 $10.00 Chuck E. Cheese 8% $ $10.00 Bruster's Ice Cream 8% $ Carrabba's Italian Grill 8% $ $10.00 $25.00 CineArts $25.00 4% $ Bubba Gump Shrimp 9% $ Carrabba's Italian Grill 8% $ CineArts Single Admit 10% $ Co. $100.00 $50.00 $9.50 Bubba Gump Shrimp 9% $ Carrs $100.00 4% $ Cinemark Theatres 4% $ Co. $25.00 $25.00 Carrs $25.00 4% $ Buca di Beppo $25.00 8% $ Cinemark Theatres 10% $ Carson's $100.00 8% $ Single Admit $9.50 Buckle $25.00 8% $ Cinemark Tinseltown 4% $ Carson's $25.00 8% $ Budget Car Rental 8% $ $25.00 $50.00 Carter's $25.00 10% $ Cinemark Tinseltown 10% $ Buffalo Wild Wings 8% $ Single Admit $9.50 $10.00 Cascading Card File 25% $ $3.00 Cineplex Odeon $25.00 8% $ Buffalo Wild Wings 8% $ $25.00 Casual Male XL $25.00 9% $ Cineplex Odeon Gold 10% $ Ticket $9.50 Build-A-Bear Workshop 8% $ Cattle Company (AK & 12% $ $25.00 HI only) $25.00 Circle K $100.00 1.5% $

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

Name Customer #

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Product % QTY Total Product % QTY Total Product % QTY Total Circle K $25.00 1.5% $ Delta Air Lines $250.00 4% $ El Pollo Loco $10.00 6% $

Claire's $10.00 9% $ Dennis Uniform $20.00 5% $ El Segundo Sol $25.00 12% $

Clarion Hotels $100.00 4% $ Denny's $10.00 7% $ El Torito $25.00 8% $

Clarion Hotels $50.00 4% $ Destination Maternity 8% $ El Torito Grill $25.00 8% $ $25.00 Clear Lounge $100.00 9% $ Elder-Beerman $100.00 8% $ Destination XL $25.00 9% $ Clear Lounge $25.00 9% $ Elder-Beerman $25.00 8% $ Di Pescara $25.00 12% $ Coffee Bean & Tea Leaf 9% $ Electronics Boutique 3% $ $25.00 Dick's Sporting Goods 8% $ $25.00 $100.00 Cold Stone Creamery 8% $ Everest $25.00 12% $ $10.00 Dick's Sporting Goods 8% $ $25.00 Express $25.00 10% $ Comfort Inn $100.00 4% $ Dillard's $100.00 9% $ Express for Men $25.00 10% $ Comfort Inn $50.00 4% $ Dillard's $25.00 9% $ Exxon $250.00 1% $ Comfort Suites $100.00 4% $ Disney $100.00 2% $ Exxon $50.00 1% $ Comfort Suites $50.00 4% $ Disney $1000.00 2% $ Fairmont Hotels 9% $ Community Canteen 12% $ $100.00 $25.00 Disney $15.00 2% $ Family Express 4% $ Container Store 9% $ Disney $25.00 2% $ $100.00 $100.00 Domino's $10.00 8% $ Family Express $25.00 4% $ Container Store $25.00 9% $ Don & Charlie's 12% $ Family Video $10.00 12% $ Cool Cuts 4 Kids $25.00 8% $ Steakhouse $25.00 Famous Footwear 8% $ Cousins Subs $10.00 9% $ Donatos Pizza $10.00 10% $ $25.00 Crab House $100.00 9% $ Downtown Aquarium 9% $ Famous Hair $25.00 8% $ $100.00 Crab House $25.00 9% $ Fannie May Candies 25% $ Downtown Aquarium 9% $ $10.00 Cracker Barrel $10.00 9% $ $25.00 Fazoli's $25.00 7% $ Dressbarn $25.00 8% $ Cracker Barrel $25.00 9% $ Fiesta Salons $25.00 8% $ Dunham's Sports 8% $ Crate and Barrel 8% $ $25.00 $100.00 Finish Line $25.00 10% $ Dunkin' Donuts $10.00 3% $ Crate and Barrel $25.00 8% $ First Choice Haircutters 8% $ Dunkin' Donuts $25.00 3% $ $25.00 Crazy 8 $25.00 13% $ Fish Tales $100.00 9% $ Dunn Bros. Coffee 8% $ Crew Cuts $25.00 13% $ $10.00 Fish Tales $25.00 9% $ CVS/pharmacy $10.00 6% $ Eat'n Park $10.00 10% $ Fisherman's Wharf 9% $ CVS/pharmacy $100.00 6% $ Eat'n Park $25.00 10% $ $100.00 Fisherman's Wharf 9% $ CVS/pharmacy $25.00 6% $ EB Games $25.00 3% $ $25.00 Dairy Queen $10.00 3% $ EBX $25.00 3% $ Fleming's Prime 8% $ Steakhouse $25.00 Econo Lodge $100.00 4% $ Darden® Restaurants 9% $ Flying Dutchman 9% $ $25.00 Econo Lodge $50.00 4% $ $100.00 Dave & Buster's $25.00 13% $ Flying Dutchman $25.00 9% $ Edwards Theatres 8% $ Del Taco $10.00 4% $ $25.00 foodlife $25.00 12% $ Eiffel Tower $25.00 12% $ Dell Computer $100.00 4% $ Foot Locker $25.00 9% $ El Paso Cantina $25.00 8% $ Delta Air Lines 4% $ Footaction USA $25.00 9% $ $1000.00

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

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Product % QTY Total Product % QTY Total Product % QTY Total Four Points by Sheraton 9% $ Gordmans $25.00 7% $ Hilton Galveston Island 9% $ (Chicago, IL only) Resort $25.00 $100.00 Grand Cafe in Lake 9% $ Geneva $100.00 Hilton Madison Monona 9% $ Four Points by Sheraton 9% $ Terrace $100.00 (Chicago, IL only) Grand Cafe in Lake 9% $ Hilton Madison Monona 9% $ $25.00 Geneva $25.00 Terrace $25.00 Frankie's 5th Floor 12% $ Grand Concourse 9% $ Hilton Milwaukee City 9% $ Pizzeria $25.00 $100.00 Center $100.00 Frankie's Scaloppine 12% $ Grand Concourse 9% $ Hilton Milwaukee City 9% $ $25.00 $25.00 Center $25.00 Funcoland $25.00 3% $ Grand Geneva Resort 9% $ $100.00 Hilton 9% $ Funset Boulevard 9% $ Minneapolis/Bloomingto Grand Geneva Resort 9% $ $100.00 n $100.00 $25.00 Funset Boulevard 9% $ Hilton 9% $ Grand Hyatt $100.00 10% $ $25.00 Minneapolis/Bloomingto n $25.00 GameStop $25.00 3% $ Grand Hyatt $50.00 10% $ Holiday Hair $25.00 8% $ Gander Mountain 8% $ Great Clips $25.00 8% $ $25.00 Holiday Inn on the 9% $ Great Harvest Bread 6% $ Beach-Galveston, TX Gandy Dancer $100.00 9% $ $10.00 $100.00 Gandy Dancer $25.00 9% $ Grotto $100.00 9% $ Holiday Inn on the 9% $ Beach-Galveston, TX Gap $100.00 14% $ Grotto $25.00 9% $ $25.00 Holiday Stationstores 4% $ Gap $25.00 14% $ Groupon.com $10.00 7% $ $25.00 Geneva ChopHouse 9% $ Groupon.com $25.00 7% $ HomeGoods $100.00 7% $ $100.00 Guitar Center $25.00 4% $ HomeGoods $25.00 7% $ Geneva ChopHouse 9% $ $25.00 Gymboree $25.00 13% $ Honey Baked Ham 12% $ GFS Marketplace 4% $ $25.00 Hair by Stewarts $25.00 8% $ $100.00 Horchow $50.00 12% $ GFS Marketplace 4% $ Hair Plus $25.00 8% $ $25.00 Hotel Phillips $100.00 9% $ HairMasters $25.00 8% $ Ghirardelli Chocolates 10% $ Hotel Phillips $25.00 9% $ $25.00 Hallmark $25.00 4% $ HUB 51 $25.00 12% $ Stores 4% $ Hard Rock Cafe $25.00 10% $ $100.00 Hyatt Hotels $100.00 10% $ Giant Food Stores 4% $ Hardee's $10.00 5% $ $25.00 Hyatt Hotels $50.00 10% $ Harlow's $100.00 9% $ Giant Foods $100.00 4% $ Hyatt House $100.00 10% $ Harlow's $25.00 9% $ Giant Foods $25.00 4% $ Hyatt House $50.00 10% $ Harmon Face Values 7% $ Gift Card Holiday 10% $ Hyatt Place $100.00 10% $ Wrapper - 10 Pack $100.00 $2.00 Harmon Face Values 7% $ Hyatt Place $50.00 10% $ Gift Card Wrapper - 10 10% $ $25.00 Hyatt Regency $100.00 10% $ Pack $2.00 Harry London 12% $ GNC $25.00 8% $ Chocolates $50.00 Hyatt Regency $50.00 10% $ HeadStart Hair Care 8% $ Golden Nugget $100.00 9% $ $25.00 Icing $10.00 9% $ Golden Nugget $25.00 9% $ Herberger's $100.00 8% $ IHOP $25.00 8% $

Goodrich Quality 4% $ Herberger's $25.00 8% $ Inn at the Ballpark 9% $ Theaters $10.00 $100.00 Hilton Galveston Island 9% $ Goody's $25.00 8% $ Resort $100.00 Inn at the Ballpark 9% $ $25.00

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

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Product % QTY Total Product % QTY Total Product % QTY Total InterContinental 9% $ Lady Foot Locker 9% $ Magic Johnson 8% $ Milwaukee $100.00 $25.00 Theatres $25.00 InterContinental 9% $ Landry's Seafood 9% $ Magic Johnson 10% $ Milwaukee $25.00 $100.00 Theatres Gold Ticket $9.50 Islamorada Fish 9% $ Landry's Seafood 9% $ Company $100.00 $25.00 Magic Pan Crepe Stand 12% $ $25.00 Islamorada Fish 9% $ Lands' End $100.00 16% $ Company $25.00 Mainstay Suites 4% $ Lands' End $25.00 16% $ $100.00 Islands $25.00 8% $ Lands' End Kids 16% $ Mainstay Suites $50.00 4% $ iTunes® $15.00 5% $ $100.00 Marathon $100.00 3% $ iTunes® $25.00 5% $ Lands' End Kids $25.00 16% $ Marathon $25.00 3% $ J. Crew $25.00 13% $ Lands' End School 16% $ $100.00 Marathon $250.00 3% $ Jack in the Box $10.00 4% $ Lands' End School 16% $ Marcus Resorts 9% $ jcpenney $100.00 5% $ $25.00 $100.00 Lane Bryant $25.00 8% $ jcpenney $25.00 5% $ Marcus Resorts $25.00 9% $ Legal Sea Foods 13% $ Marcus Theatres 9% $ Jean Louis David 8% $ $25.00 $25.00 $100.00 Lettuce Entertain You 12% $ Marcus Theatres $25.00 9% $ Jiffy Lube $30.00 8% $ Restaurants $25.00 Jo-Ann Fabric and Craft 6% $ Limited $25.00 9% $ Marshalls $100.00 7% $ Stores $25.00 Little Caesar's Pizza 8% $ Marshalls $25.00 7% $ Joe's Seafood Prime 12% $ $20.00 Steak & Stone Crab Martin's Food Market 4% $ $25.00 Loews Cineplex $25.00 8% $ (MD, PA, VA, WV) $100.00 Journeys $25.00 10% $ Loews Cineplex Gold 10% $ Ticket $9.50 Martin's Food Market 4% $ Journeys Kidz $25.00 10% $ (MD, PA, VA, WV) Logan's Roadhouse 10% $ $25.00 Kemah Boardwalk 9% $ $25.00 $100.00 Mason Street Grill 9% $ LongHorn Steakhouse 9% $ $100.00 Kemah Boardwalk 9% $ ® $25.00 $25.00 Mason Street Grill 9% $ Lord & Taylor $25.00 8% $ $25.00 Kids Foot Locker $25.00 9% $ Lou Malnati's Pizzeria 8% $ MasterCuts $25.00 8% $ Kil@Wat $100.00 9% $ $10.00 Maurices $20.00 7% $ Lowe's $100.00 4% $ Kil@Wat $25.00 9% $ MC Sports $25.00 8% $ Lowe's $1000.00 4% $ Kmart $25.00 4% $ (not AK and HI) 3% $ Lowe's $20.00 4% $ Kmart $50.00 4% $ $100.00 Lowe's $25.00 4% $ Meijer (not AK and HI) 3% $ Kohl's $100.00 4% $ $25.00 Lowe's $500.00 4% $ Kohl's $25.00 4% $ Men's Wearhouse 8% $ M Burger $25.00 12% $ $25.00 L. Woods Tap & Pine 12% $ Menards $100.00 3% $ Lodge $25.00 M Street Kitchen $25.00 12% $ L.L.Bean $100.00 16% $ Menards $25.00 3% $ Macaroni Grill $25.00 11% $ L.L.Bean $25.00 16% $ Mia & Maxx Hair Studio 8% $ Macaroni Grill $50.00 11% $ $25.00 L2O $25.00 12% $ Macy's $100.00 10% $ Michaels $25.00 4% $ La Griglia $100.00 9% $ Macy's $25.00 10% $ Miller Time Pub $100.00 9% $ La Griglia $25.00 9% $ Maggiano's Little Italy 11% $ Miller Time Pub $25.00 9% $ $25.00

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

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Product % QTY Total Product % QTY Total Product % QTY Total Milwaukee ChopHouse 9% $ Outback Steakhouse 8% $ Petterino's $25.00 12% $ $100.00 $10.00 Pfister Hotel $100.00 9% $ Milwaukee ChopHouse 9% $ Outback Steakhouse 8% $ $25.00 $25.00 Pfister Hotel $25.00 9% $ Mimis Cafe $25.00 8% $ Outback Steakhouse 8% $ $50.00 Pier 1 Imports $25.00 9% $ Mitchell's Hair Styling 8% $ (NC only) $25.00 Outlooks for Hair $25.00 8% $ Pizza Hut (Not AK or HI) 8% $ $10.00 Mity Nice Bar & Grill 12% $ Overstock.com $25.00 8% $ $25.00 Pizzeria Due $25.00 12% $ P.F. Chang's China 8% $ Mobil $250.00 1% $ Bistro $25.00 Pizzeria Uno $25.00 12% $ Mobil $50.00 1% $ P.S. From Aeropostale 10% $ Pizzeria Via Stato 12% $ $25.00 $25.00 Mon Ami Gabi $25.00 12% $ Palais Royal $25.00 8% $ PlanetX $25.00 3% $ Morton's Steakhouse 9% $ $100.00 Panera Bread $10.00 9% $ Platinum Hotel in Las 9% $ Vegas $100.00 Morton's Steakhouse 9% $ Panera Bread $25.00 9% $ $25.00 Platinum Hotel in Las 9% $ Panera Bread $5.00 9% $ Vegas $25.00 Motherhood Maternity 8% $ Popcorn Factory $50.00 12% $ $25.00 Panopoulos Salons 8% $ Muer Seafood $100.00 9% $ $25.00 Pottery Barn $100.00 8% $ Papa John's Pizza 8% $ Muer Seafood $25.00 9% $ $10.00 Pottery Barn $25.00 8% $ Nacional 27 $25.00 12% $ Papa Murphy's Pizza 8% $ Pottery Barn Kids 8% $ $10.00 $100.00 Neiman Marcus $50.00 12% $ Paris Club Bistro & Bar 12% $ Pottery Barn Kids 8% $ Nike $25.00 12% $ $25.00 $25.00 Park Avenue Grill 9% $ Qdoba Mexican Grill 7% $ Noodles & Company 8% $ $100.00 $25.00 $10.00 Park Avenue Grill 9% $ Quality Inn $100.00 4% $ O'Charley's $25.00 13% $ $25.00 Quality Inn $50.00 4% $ Oceanaire $100.00 9% $ $100.00 4% $ R.J. Grunts $25.00 12% $ Oceanaire $25.00 9% $ Pavilions $25.00 4% $ Rainforest Cafe $100.00 9% $ Office Depot $100.00 5% $ Payless Shoes $20.00 13% $ Rainforest Cafe $25.00 9% $ Office Depot $25.00 5% $ PBteen $100.00 8% $ $100.00 4% $ Office Max $100.00 5% $ PBteen $25.00 8% $ Randalls $25.00 4% $ Office Max $25.00 5% $ Peapod Online Grocery 4% $ $100.00 Red Lobster ® $25.00 9% $ Old Chicago $25.00 6% $ Peapod Online Grocery 4% $ $25.00 Red Piano $100.00 9% $ Old Navy $100.00 14% $ $25.00 8% $ Red Piano $25.00 9% $ Old Navy $25.00 14% $ Peet's Coffee & Tea 8% $ Red Robin $25.00 9% $ Olive Garden ® $25.00 9% $ $20.00 Red Sushi $100.00 9% $ Omaha Steaks $25.00 11% $ Pei Wei Asian Diner 8% $ $25.00 Red Sushi $25.00 9% $ On The Border $25.00 11% $ Peohe's $100.00 9% $ Reel Club $25.00 12% $ Oriental Trading 9% $ Peohe's $25.00 9% $ Company $25.00 Regal Theatres $25.00 8% $ OshKosh $25.00 10% $ Pep Boys $20.00 4% $ Regis Salons $25.00 8% $ Osteria Via Stato 12% $ PetSmart $25.00 4% $ $25.00

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

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Product % QTY Total Product % QTY Total Product % QTY Total Regis Signature Salon 8% $ Saturday's Hair Salon 8% $ Sinigual $25.00 8% $ $25.00 $25.00 Skirvin Hilton $100.00 9% $ REI $25.00 8% $ SaveRite Grocery 4% $ Warehouse $100.00 Skirvin Hilton $25.00 9% $ Restaurant at the 9% $ Platinum $100.00 SaveRite Grocery 4% $ Warehouse $25.00 Sleep Inn $100.00 4% $ Restaurant at the 9% $ Platinum $25.00 Sears $100.00 4% $ Sleep Inn $50.00 4% $ Restaurant.com $20.00 50% $ Sears $25.00 4% $ SmartStyle $25.00 8% $

Restoration Hardware 12% $ Sears $250.00 4% $ Smashburger $10 10% $ $100.00 $10.00 Sears Auto Service 4% $ Restoration Hardware 12% $ Center $100.00 Software Etc. $25.00 3% $ $25.00 Sears Auto Service 4% $ $25.00 8% $ Rich $100.00 4% $ Center $25.00 Rich $25.00 4% $ Sears Auto Service 4% $ Spafinder Wellness 365 12% $ Center $250.00 $25.00 Ristorante Brissago 9% $ Speedway $100.00 4% $ $100.00 Sentry $10.00 3% $ Ristorante Brissago 9% $ Sentry $50.00 3% $ Speedway $25.00 4% $ $25.00 Sephora $20.00 5% $ Speedway Food Court 7% $ Rite Aid $25.00 4% $ $20.00 Shaw's Crab House 12% $ River Crab $100.00 9% $ Sports Authority 8% $ $25.00 $100.00 River Crab $25.00 9% $ Sheetz $100.00 3% $ Sports Authority $25.00 8% $

Rock Bottom 6% $ Sheetz $25.00 3% $ 5% $ Restaurant $25.00 $100.00 Sheldon Cleaners $5.00 9% $ Rodeway Inn $100.00 4% $ Sprouts Farmers Market 5% $ Shell $100.00 2% $ $25.00 Rodeway Inn $50.00 4% $ Sprouts Farmers Market 5% $ Shell $25.00 2% $ Ross Dress for Less 8% $ $50.00 $25.00 Shell $50.00 2% $ St. Louis Bread 9% $ Ruby Tuesday $25.00 8% $ Company $10.00 shi by Journeys $25.00 10% $ St. Louis Bread 9% $ Ruth's Chris Steak 10% $ Company $25.00 House $50.00 Shoe Carnival $25.00 5% $ $25.00 8% $ Safeway $100.00 4% $ Shopko $25.00 3% $ Staples $100.00 5% $ Safeway $25.00 4% $ ShopRite $100.00 4% $ Staples $25.00 5% $ Sally Beauty Supply 12% $ ShopRite $25.00 4% $ $25.00 Star Theatres $25.00 8% $ Saltgrass Steakhouse 9% $ Showplace $25.00 8% $ $100.00 Star Theatres Gold 10% $ Showplace Gold Ticket 10% $ Ticket $9.50 Saltgrass Steakhouse 9% $ $9.50 $25.00 Starbucks $10.00 7% $ Shutterfly $25.00 9% $ Sam's Club $10.00 2.5% $ Starbucks $25.00 7% $ Simms Steakhouse 9% $ Sam's Club $100.00 2.5% $ $100.00 Stater Bros. Markets 5% $ $100.00 Sam's Club $25.00 2.5% $ Simms Steakhouse 9% $ $25.00 Stater Bros. Markets 5% $ Sam's Club $250.00 2.5% $ Sinclair Oil $100.00 1.5% $ $25.00 Steak 'n Shake $10.00 8% $ San Luis Resort 9% $ Sinclair Oil $25.00 1.5% $ $100.00 Stein Mart $25.00 7% $ San Luis Resort $25.00 9% $ Sing Sing Dueling 6% $ Pianos $25.00 Stella Barra Pizzeria 12% $ $25.00

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total Stir Lounge in Las 9% $ Texaco $50.00 1.5% $ Walgreens $100.00 6% $ Vegas $100.00 Texas Roadhouse 8% $ Walgreens $25.00 6% $ Stir Lounge in Las 9% $ $25.00 Vegas $25.00 $10.00 2.5% $ TGF Hair Salon $25.00 8% $ Stop & Shop (NOT 4% $ Walmart $100.00 2.5% $ TOPS) $100.00 TGI Fridays $25.00 9% $ Stop & Shop (NOT 4% $ Walmart $25.00 2.5% $ TOPS) $25.00 The Home Depot 4% $ $100.00 Stripburger $25.00 12% $ Walmart $250.00 2.5% $ The Home Depot 4% $ Style America $25.00 8% $ $1000.00 Walnut Brewery $25.00 6% $ The Home Depot 4% $ Wawa $100.00 1.5% $ Su Casa (Chicago Only) 12% $ $25.00 $25.00 The Home Depot 4% $ Wawa $25.00 1.5% $ Suburban Extended 4% $ $500.00 Stay Hotel $100.00 Well Spa at Grand 9% $ Tim Hortons $10.00 5% $ Geneva $100.00 Suburban Extended 4% $ Stay Hotel $50.00 Timber Ridge Lodge & 9% $ Well Spa at Grand 9% $ Geneva $25.00 SUBWAY® Restaurants 6% $ Waterpark $100.00 $10.00 Timber Ridge Lodge & 9% $ Well Spa at Platinum, 9% $ Las Vegas $100.00 SUBWAY® Restaurants 6% $ Waterpark $25.00 $50.00 Tokio Pub $25.00 12% $ Well Spa at Platinum, 9% $ Las Vegas $25.00 Sunglass Hut $25.00 12% $ Tom Thumb (TX) 4% $ Well Spa at The Pfister 9% $ Sunoco $250.00 1.5% $ $100.00 $100.00 Tom Thumb (TX) 4% $ Sunoco $50.00 1.5% $ Well Spa at The Pfister 9% $ $25.00 $25.00 Supercuts $25.00 8% $ Tower of the Americas 9% $ Wendy's $10.00 4% $ $100.00 Sweet Tomatoes $25.00 8% $ Tower of the Americas 9% $ West Elm $100.00 8% $ $25.00 T-Rex $100.00 9% $ West Elm $25.00 8% $ Toys"R"Us $100.00 3% $ T-Rex $25.00 9% $ White Barn Candle Co 13% $ Toys"R"Us $20.00 3% $ $10.00 T.J. Maxx $100.00 7% $ Tru $25.00 12% $ White Barn Candle Co 13% $ T.J. Maxx $25.00 7% $ $25.00 Tucci Benucch $25.00 12% $ White River Fish House 9% $ T.J. 7% $ $100.00 Maxx/Marshalls/HomeG Twin City Grill $25.00 12% $ oods $100.00 White River Fish House 9% $ $25.00 T.J. 7% $ ULTA $25.00 4% $ Maxx/Marshalls/HomeG Who-Song & Larry's 8% $ Ultra Service Center 1.5% $ oods $25.00 $25.00 $250.00 Taco Bell $10.00 5% $ 3% $ Ultra Service Center 1.5% $ $100.00 Talbots $25.00 13% $ $50.00 Whole Foods Market 3% $ Under Armour $25.00 11% $ Tanger Outlets $25.00 8% $ $25.00 United Artist Theatres 8% $ Wildfire $25.00 12% $ Target $10.00 2.5% $ $25.00 Williams-Sonoma 8% $ Target $100.00 2.5% $ Uno Pizzeria & Grill 12% $ $100.00 $25.00 Target $25.00 2.5% $ Williams-Sonoma 8% $ Vic & Anthony's 9% $ $25.00 Steakhouse $100.00 Target $50.00 2.5% $ Willie G's $100.00 9% $ Vic & Anthony's 9% $ Texaco $100.00 1.5% $ Steakhouse $25.00 Willie G's $25.00 9% $ $100.00 4% $ Texaco $250.00 1.5% $ Winn Dixie $100.00 4% $ Vons $25.00 4% $

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $ Family Order Form Created: 11/19/2015 11:47:00 PM Visitation of Our Lady

Name Customer #

Check # Order Date

Product % QTY Total Winn Dixie $25.00 4% $

Wow Bao $25.00 12% $

Yak & Yeti $100.00 9% $

Yak & Yeti $25.00 9% $

Younkers $100.00 8% $

Younkers $25.00 8% $

Zappos.com $25.00 8% $

Make Checks Payable To: Visitation of Our Lady Co Op Total Due All Columns: $