Hillsboro Elementary School

Family Order Form Created: 9/11/2009 3:07:28 PM Hillsboro Elementary School

Name Customer #

Check # Order Date

Product % Qty Total American Express 1.25% $ Barnes & Noble **10% $ $200.00 Booksellers $25.00 "346" Brooks 16% $ Andersons Market, 4% $ Barnes & Noble **10% $ Brothers $25.00 The $100.00 College Bookstores $10.00 1-800-Flowers 25% $ Andersons Market, 4% $ $10.00 The $25.00 Barnes & Noble **10% $ College Bookstores 675 Minute Total 15% $ Andersons, The 4% $ $100.00 Access Phone Card $100.00 $20.00 Barnes & Noble **10% $ Andersons, The 4% $ College Bookstores 99 Restaurant $25.00 13% $ $25.00 $20.00 Antico Posto $25.00 12% $ A Pea in the Pod 6% $ Barnes & Noble **10% $ $25.00 Applebee's $25.00 **10% $ College Bookstores A&P Food Stores 4% $ $25.00 $100.00 Applebee's $50.00 **10% $ Baskin Robbins 9% $ A&P Food Stores 4% $ $2.00 Aquarium $25.00 9% $ $25.00 Bass Pro Shops 9% $ A-Plus Convenience 2% $ Arby's $10.00 8% $ $100.00 Store $250.00 Bass Pro Shops 9% $ Arco $100.00 2% $ A-Plus Convenience 1.50% $ $25.00 Store $50.00 Arco $250.00 3% $ Bath & Body Works 13% $ A.J. Wright $100.00 7.00% $ $10.00 Arco $50.00 2% $ Bath & Body Works 13% $ A.J. Wright $25.00 7.00% $ AT&T 125 Minute 20% $ $25.00 Acapulco Mexican 9% $ Prepaid Card $9.50 bd's Mongolian 8% $ Restaurant Y Cantina Athleta $25.00 **11% $ Barbecue $20.00 $25.00 Beauty Bar $25.00 8% $ Ace Hardware 4% $ Auto Zone $25.00 5% $ $100.00 Bed Bath & Beyond 7.00% $ Avis Car Rental 8% $ $25.00 Ace Hardware $25.00 4% $ $50.00 BedandBreakfast.co 10% $ Acme $100.00 4% $ B. Dalton Booksellers **10% $ m $50.00 $10.00 Acme $25.00 4% $ Belk Department 7.00% $ B. Dalton Booksellers **10% $ Store $25.00 $100.00 Advance Auto Parts 7.00% $ Ben Pao $25.00 12% $ $25.00 B. Dalton Booksellers **10% $ $20.00 Aeropostale $25.00 7.00% $ Bergner's $100.00 8% $ B. Dalton Booksellers **10% $ Albertsons $100.00 4% $ $25.00 Bergner's $25.00 8% $ Babbage's $25.00 3% $ Albertsons $25.00 4% $ Best Buy $100.00 3% $ Babies-R-Us $20.00 1.50% $ Amazon.com 4% $ Best Buy $25.00 3% $ $100.00 Babin's Seafood 9% $ Best Buy $250.00 3% $ Amazon.com $25.00 4% $ House $25.00 Best Cuts $25.00 8% $ Bahama Breeze 9% $ AMC Theatres 7.00% $ $25.00 $25.00 Best Western 12% $ Baja Fresh $25.00 7.00% $ International $100.00 AMC Theatres $9.50 16% $ Best Western 12% $ Banana Republic **11% $ American Airlines 8% $ International $25.00 $25.00 $100.00 Big 5 Sporting Goods 8% $ Barnes & Noble **10% $ American Airlines 8% $ $25.00 Booksellers $10.00 $250.00 Big Bowl $25.00 12% $ Barnes & Noble **10% $ American Eagle 9% $ Booksellers $100.00 Outfitters $25.00 Big Cedar Lodge 9% $ Barnes & Noble **10% $ $100.00 American Express 1.25% $ Booksellers $20.00 $100.00

Make Checks Payable To: Hillsboro Elementary School Total Due All Columns: $ **Limited time bonus offer. Participating retailers and products are subject to change without notice. Family Order Form Created: 9/11/2009 3:07:28 PM Hillsboro Elementary School

Name Customer #

Check # Order Date

Big Cedar Lodge 9% $ BP Gas $250.00 3% $ Carson Pirie Scott 8% $ $25.00 $25.00 BP Gas $50.00 2% $ Big Fish $25.00 9% $ Casa Gallardo 9% $ Brasserie Jo $25.00 12% $ $25.00 Black Angus $25.00 12% $ Cascading Card File 25% $ Brenner's 9% $ $2.96 Blockbuster $10.00 7.00% $ Steakhouse $25.00 Casual Male XL 6% $ Blockbuster Specialty 15% $ Brooks Brothers 16% $ $25.00 Card $12.00 $25.00 Catherines $25.00 6% $ Blockbuster Specialty 15% $ Brooks Brothers 16% $ Card $3.79 Country Club Store Cattle Company 12% $ $25.00 Blockbuster Specialty 15% $ (Alaska & Hawaii) Card $6.00 Bruegger's Bagels 7.00% $ $25.00 $10.00 Bloomingdale's 12% $ Celebrity Cruise 9% $ $100.00 Buca Di Beppo 8% $ Lines $100.00 $25.00 Bloomingdale's 12% $ Central Market 2% $ $25.00 Budget Car Rental 8% $ $100.00 $50.00 Bloomington 9% $ Central Market 2% $ Chophouse $25.00 Build-A-Bear 8% $ $25.00 Workshop $25.00 Blu Bar Lounge 9% $ Century Theatres 4% $ $25.00 Burger King $10.00 4% $ $25.00 Boardwalk Inn $25.00 9% $ Champs Sports 9% $ Cabela's $100.00 11% $ $25.00 Bob Evans $10.00 10% $ Cabela's $25.00 11% $ Charley's Crab 9% $ $25.00 Bon-Ton $100.00 8% $ Cadillac Bar $25.00 9% $ Chart House $25.00 9% $ Bon-Ton $25.00 8% $ Cafe Ba-Ba-Reeba! 12% $ Cheesecake Factory 5% $ $25.00 Bonefish Grill $25.00 5% $ $25.00 California Pizza 4% $ Chevron $100.00 1.50% $ Bookstar $10.00 **10% $ Kitchen $10.00

Bookstar $100.00 **10% $ Cambria Suites 4% $ Chevron $250.00 2% $ $100.00 Chevron $50.00 1.50% $ Bookstar $20.00 **10% $ Cambria Suites 4% $ $50.00 Bookstar $25.00 **10% $ Chevy's Fresh Mex 8% $ Capitol ChopHouse 9% $ Restaurant $25.00 Bookstop $10.00 **10% $ $25.00 Chili's Grill & Bar 11% $ $25.00 Bookstop $100.00 **10% $ Captain Crabs Take- 9% $ Away $25.00 Chipotle $10.00 10% $ Bookstop $20.00 **10% $ Carl's Jr. $10.00 9% $ Chop House Brewery 6% $ Bookstop $25.00 **10% $ Carlos O'Kelly's 9% $ $25.00 Mexican Cafe $10.00 Chuck E. Cheese 8% $ Borders $10.00 9% $ Carlton Hair 8% $ $10.00 Borders $25.00 9% $ International $25.00 CinéArts $25.00 4% $ Carnival Cruises 8% $ BoRics $25.00 8% $ $100.00 Cinema de Lux 9% $ $25.00 Boscov's Department 5% $ Carrabba's Italian 5% $ Store $25.00 Grill $25.00 Cinemark $25.00 4% $ Boston Market 12% $ Carrows Restaurant 8% $ Cinemark Tinseltown 4% $ $10.00 $10.00 $25.00 Boston Store $100.00 8% $ Carrs $100.00 4% $ Cineplex Odeon 7.00% $ $25.00 Boston Store $25.00 8% $ Carrs $25.00 4% $ Cineplex Odeon 16% $ BP Gas $100.00 2% $ Carson Pirie Scott 8% $ $9.50 $100.00

Name Customer #

Check # Order Date

Circle K $25.00 2% $ D'Angelo Grilled 10% $ Edwards Theater 8% $ Sandwiches $10.00 $25.00 Claim Jumper 8% $ Restaurants $25.00 Damon's Grill $25.00 9% $ Edwards Theater 15% $ $9.50 Claire's $10.00 9% $ Darden Restaurants 9% $ $25.00 Eiffel Tower $25.00 12% $ Clarion Hotels 4% $ $100.00 Dave & Busters 13% $ El Paso Cantina 9% $ $25.00 $25.00 Clarion Hotels $50.00 4% $ Del Taco $10.00 4% $ El Pollo Loco $10.00 6% $ Coco's Restaurant & 8% $ Bakery $10.00 Dell Computer 4% $ El Torito $25.00 9% $ $100.00 Coffee Bean & Tea 9% $ El Torito Grill $25.00 9% $ Leaf $25.00 Dennis Uniform 5% $ $20.00 Elder-Beerman 8% $ Cold Stone Creamery 8% $ $100.00 $10.00 Denny's $10.00 7.00% $ Elder-Beerman 8% $ Comfort Inn $100.00 4% $ Destination Maternity 6% $ $25.00 $25.00 Comfort Inn $50.00 4% $ Electronics Boutique 3% $ Di Pescara $25.00 12% $ $25.00 Comfort Suites 4% $ $100.00 Dick's Sporting 8% $ Everest $25.00 12% $ Goods $25.00 Comfort Suites 4% $ Express $25.00 10% $ $50.00 Dillard's $100.00 9% $ Express for Men 10% $ Community Canteen 12% $ Dillard's $25.00 9% $ $25.00 $25.00 Disney $100.00 2% $ Exxon $250.00 2% $ Container Store 9% $ $100.00 Disney $1000.00 2% $ Exxon $50.00 1.50% $ Container Store 9% $ $25.00 Disney $25.00 2% $ f.y.e. $25.00 6% $ Cool Cuts $25.00 8% $ Dominick's $100.00 4% $ Fairfield Inn $100.00 8% $

Country Buffet $25.00 5% $ Dominick's $25.00 4% $ Fairfield Inn $50.00 8% $

Courtyard $100.00 8% $ Domino's Pizza 5% $ Fairfield Inn $500.00 8% $ $5.00 Courtyard $50.00 8% $ Fairmont Hotels 12% $ Domino's Pizza & 2- 25% $ $100.00 Courtyard $500.00 8% $ liter $14.00 Family Christian 9% $ Don & Charlie's 12% $ Stores $25.00 Cousin's Subs $10.00 9% $ Steakhouse $25.00 Family Express 4% $ Crab House, The 9% $ Donatos Pizza 10% $ $100.00 $25.00 $10.00 Family Express 4% $ Cracker Barrel 9% $ Downtown Aquarium 9% $ $25.00 $10.00 $25.00 Family Video $10.00 12% $ Crate and Barrel 8% $ Dream Dinners 8% $ $100.00 $75.00 Famous Hair $25.00 8% $ Crate and Barrel 8% $ Dressbarn $25.00 8% $ $25.00 Fannie May Candies 25% $ Dunham's Sports 8% $ $10.00 Crew Cuts $25.00 13% $ $25.00 Fashion Bug $25.00 6% $ Cub Foods $100.00 2% $ Dunkin' Donuts 4% $ $10.00 Fazoli's $25.00 7.00% $ Cub Foods $25.00 2% $ Eat 'n Park $10.00 10% $ Fiesta Salons $25.00 8% $ CVS/pharmacy **8% $ $100.00 Eat 'n Park $25.00 10% $ Finish Line $25.00 10% $ CVS/pharmacy **8% $ EB Games $25.00 3% $ Fire Mountain $25.00 5% $ $25.00 EBX $25.00 3% $

Name Customer #

Check # Order Date

First Choice 8% $ GFS Marketplace 4% $ HEB $100.00 2% $ Haircutters $25.00 $25.00 HEB $25.00 2% $ Fish Tales $25.00 9% $ Giant Eagle $100.00 4% $ Herberger's $100.00 8% $ Fisherman's Wharf 9% $ Giant Eagle $25.00 4% $ $25.00 Herberger's $25.00 8% $ Giant Foods $100.00 4% $ Fleming's Prime 5% $ Steakhouse $25.00 Hilton Galveston 9% $ Giant Foods $25.00 4% $ Island Resort $25.00 Flying Dutchman, 9% $ The $25.00 Gift card Wrapper 16 20% $ Hilton Madison 9% $ pk $5.60 Monona Terrace Food Basics $100.00 4% $ $25.00 GNC $25.00 8% $ Food Basics $25.00 4% $ Hilton Milwaukee City 9% $ Golden Nugget 9% $ Center $25.00 $25.00 Food Emporium 4% $ Hilton 9% $ $100.00 Golfsmith $25.00 8% $ Minneapolis/Bloomin Food Emporium 4% $ gton $25.00 $25.00 Goodrich Quality 4% $ Theaters $10.00 Holiday Hair $25.00 8% $ foodlife $25.00 12% $ Gordman's $25.00 7.00% $ Holiday Inn on the 9% $ Foot Locker $25.00 9% $ Beach-Galveston, TX Gordon Food Service 4% $ $25.00 Footaction USA 9% $ Marketplace $100.00 Holiday Station 2% $ $25.00 Gordon Food Service 4% $ Stores $25.00 Four Points by 9% $ Marketplace $25.00 Hollywood Video 16% $ Sheraton - Chicago Grand Concourse 9% $ $10.00 only $25.00 $25.00 Home Depot $100.00 4% $ Frankie's 5th Floor 12% $ Grand Geneva 9% $ Pizzeria $25.00 Resort $25.00 Home Depot $25.00 4% $ Frankie's Scaloppine 12% $ Great Clips $25.00 8% $ $25.00 Home Depot $500.00 4% $ Great Harvest Bread 8% $ Friends 2B Made 8% $ Home Shopping 6% $ $10.00 $25.00 Network $25.00 Grotto $25.00 9% $ Funcoland $25.00 3% $ HomeGoods $100.00 7.00% $ Guitar Center $25.00 4% $ Funset Boulevard 9% $ HomeGoods $25.00 7.00% $ $25.00 Gulf Oil $25.00 2% $ Game Crazy $10.00 16% $ Hometown Buffet 5% $ Gymboree $25.00 13% $ $25.00 Game Stop $25.00 3% $ Honey Baked Ham 12% $ Hair by Stewarts 8% $ $10.00 Gander Mountain 8% $ $25.00 $25.00 Hotel Phillips $25.00 9% $ Hair Plus $25.00 8% $ Gandy Dancer 9% $ HUB 51 $25.00 12% $ $25.00 HairMasters $25.00 8% $ Hyatt Hotels $100.00 9% $ Gap $25.00 **11% $ Hallmark $25.00 4% $ Hyatt Hotels $50.00 9% $ Geneva ChopHouse 9% $ Hard Rock Cafe 10% $ $25.00 $25.00 Hyatt Place $100.00 9% $ Genuardis $100.00 4% $ Harlow's $25.00 9% $ Hyatt Place $50.00 9% $ Genuardis $25.00 4% $ Harry & David $25.00 10% $ Hyatt Summerfield 9% $ GetGo $100.00 4% $ HeadStart Hair Care 8% $ Suites $100.00 $25.00 GetGo $25.00 4% $ Hyatt Summerfield 9% $ Hearty Platter Cafe & 4% $ Suites $50.00 GFS Marketplace 4% $ Restaraunt $100.00 Icing $10.00 9% $ $100.00 Hearty Platter Cafe & 4% $ Inn at the Ballpark 9% $ Restaraunt $20.00 $25.00

Name Customer #

Check # Order Date

InterContinental 9% $ L.L. Bean $100.00 15% $ Magic Johnson 16% $ Milwaukee $25.00 Theatre $9.50 L.L. Bean $25.00 15% $ Islamorada Fish 9% $ Magic Pan Crepe 12% $ Company $100.00 L2O $25.00 12% $ Stand $25.00 Islamorada Fish 9% $ Mainstay Suites 4% $ Company $25.00 La Griglia $25.00 9% $ $100.00 Islands Restaurant 8% $ Lady Foot Locker 9% $ Mainstay Suites 4% $ $25.00 $25.00 $50.00 iTunes® $15.00 4% $ Landry's Seafood 9% $ Marathon Gas 3% $ House $25.00 $100.00 J. Crew $25.00 13% $ Lands' End $100.00 17% $ Marathon Gas $25.00 3% $ J. Jill $25.00 8% $ Lands' End $25.00 17% $ Marathon Gas 4% $ Jack in the Box 4% $ $250.00 Lane Bryant $25.00 6% $ $10.00 Marcus Resorts 9% $ Jamba Juice $10.00 7.00% $ Legal Sea Foods 13% $ $25.00 $25.00 Marcus Theatres 9% $ JCPenney $100.00 5% $ Lettuce Entertain You 12% $ $25.00 JCPenney $25.00 5% $ $25.00 Marie Callender's 18% $ Limited, The $25.00 9% $ $25.00 Jean Louis David 8% $ Marriott Hotels 8% $ $25.00 Little Caesar's Pizza 8% $ $100.00 Jewel-Osco $100.00 4% $ $20.00 Marriott Hotels 8% $ Loews Cineplex 7.00% $ $50.00 Jewel-Osco $25.00 4% $ Entertainment $25.00 Marriott Hotels 8% $ Jiffy Lube $30.00 8% $ Loews Cineplex 16% $ $500.00 Entertainment $9.50 Jo-Ann Fabrics 6% $ Marshalls $100.00 7.00% $ $20.00 Logan's Roadhouse 8% $ $25.00 Marshalls $25.00 7.00% $ Joe's Seafood, Prime 12% $ Long John Silver's 8% $ Steak & Stone Crab Martin's Food Market 4% $ $5.00 $25.00 (Not IN) $100.00 Longhorn 9% $ Kay Jewelers $50.00 6% $ Martin's Food Market 4% $ Steakhouse $25.00 (Not IN) $25.00 Kemah Boardwalk 9% $ Lord & Taylor $25.00 8% $ $25.00 Mason Street Grill 9% $ $25.00 KFC $5.00 9% $ Lou Malnati's $10.00 8% $ MasterCuts $25.00 8% $ Kids Foot Locker 9% $ Lowe's Home 4% $ $25.00 Improvement Maui Jim $25.00 15% $ $100.00 Kil@Wat $25.00 9% $ Maurices $20.00 7.00% $ Lowe's Home 4% $ KMart $25.00 4% $ Improvement Max & Erma's $20.00 13% $ $1000.00 KMart $50.00 4% $ Lowe's Home 4% $ MC Sports $25.00 8% $ Improvement $25.00 Kohl's Department 4% $ Men's Wearhouse 8% $ Store $100.00 Lowe's Home 4% $ $25.00 Improvement Kohl's Department 4% $ $500.00 Menards Home 3% $ Store $25.00 Centers $100.00 Macaroni Grill $25.00 11% $ Kwik Star $100.00 4% $ Menards Home 3% $ Macy's $100.00 10% $ Centers $25.00 Kwik Star $20.00 4% $ Mia & Maxx Hair 8% $ Macy's $25.00 10% $ Kwik Trip $100.00 4% $ Studio $25.00 Maggiano's Little Italy 11% $ Michaels $25.00 4% $ Kwik Trip $20.00 4% $ $25.00 Milwaukee 9% $ L. Woods Tap & Pine 12% $ Magic Johnson 7.00% $ ChopHouse $25.00 Lodge $25.00 Theatre $25.00

Name Customer #

Check # Order Date

Mimi Maternity 6% $ Orvis $25.00 17% $ PetSmart $25.00 4% $ $25.00 Osteria Via Stato 12% $ Petterino's $25.00 12% $ Mimis Cafe $25.00 8% $ $25.00 Pfister Hotel $25.00 9% $ Mitchell's Hair Styling 8% $ Outback Steakhouse 5% $ (NC only) $25.00 $25.00 Phillips ChopHouse 9% $ Mity Nice Grill $25.00 12% $ Outlooks for Hair 8% $ $25.00 $25.00 Pick Up Stix $25.00 12% $ Mobil $250.00 2% $ Overstock.com 8% $ Pier 1 Imports $25.00 9% $ Mobil $50.00 1.50% $ $25.00 P&C $25.00 4% $ Pinkberry $10.00 5% $ Mon Ami Gabi $25.00 12% $ P.F. Chang's China 7.00% $ Piperlime $25.00 **11% $ Motherhood 6% $ Bistro $25.00 Maternity $25.00 Pizza Hut $10.00 8% $ Panera Bread $10.00 9% $ Mr. Goodcents Subs 7.00% $ Pizzeria Due $25.00 12% $ and Pastas $10.00 Panera Bread $25.00 9% $ Muer Seafood $25.00 9% $ Pizzeria Uno $25.00 12% $ Panopoulos Salon 8% $ Multiplex Cinemas 9% $ $25.00 Pizzeria Via Stato 12% $ $25.00 Papa Gino's $10.00 10% $ $25.00 Nacional 27 $25.00 12% $ Planet X $25.00 3% $ Papa John's $10.00 8% $ National 9% $ Plow & Hearth $10.00 25% $ Amusements $25.00 Parisian Store 8% $ $100.00 Pottery Barn $100.00 8% $ Nike $25.00 12% $ Parisian Store 8% $ Pottery Barn $25.00 8% $ Noodle's & Company 8% $ $25.00 $10.00 Park Avenue Grill 9% $ Pottery Barn Kids 8% $ O'Charley's $25.00 13% $ $25.00 $100.00 Pathmark $25.00 4% $ Pottery Barn Kids 8% $ Office Depot $100.00 4% $ $25.00 Pavilions $100.00 4% $ Office Depot $25.00 4% $ Qdoba Mexican Grill 7.00% $ Pavilions $25.00 4% $ $25.00 Office Max $100.00 5% $ Quality Inn $100.00 4% $ Payless Shoes 13% $ Office Max $25.00 5% $ $20.00 Quality Inn $50.00 4% $ Old Chicago $25.00 6% $ PBteen $100.00 8% $ Quality Markets 4% $ Old Country Buffet 5% $ PBteen $25.00 8% $ $25.00 $25.00 R.J. Grunts $25.00 12% $ Peapod Online 4% $ Old Navy $25.00 **11% $ Grocery $100.00 Radio Shack $25.00 4% $ Olga's Kitchen 8% $ Peapod Online 4% $ $20.00 Grocery $25.00 Rainforest Cafe 9% $ $25.00 Olive Garden $25.00 9% $ Peet's Coffee & Tea 8% $ $20.00 Randalls $100.00 4% $ Omaha Steaks 11% $ Pei Wei Asian Diner 7.00% $ $25.00 Randalls $25.00 4% $ $25.00 On The Border 11% $ Peohe's $25.00 9% $ Red Lobster $25.00 9% $ $25.00 Red Robin $25.00 9% $ Orchard Supply 4% $ Pep Boys $20.00 4% $ Hardware $100.00 Perkins (KS, MI, MO, 12% $ Red Sushi $25.00 9% $ Orchard Supply 4% $ WI only) $10.00 Hardware $25.00 Reel Club $25.00 12% $ Pesce $25.00 9% $ Orchard Supply 4% $ Regal Entertainment 8% $ Hardware $250.00 Petite Sophisticate 6% $ $25.00 Orvis $100.00 17% $ $25.00

Name Customer #

Check # Order Date

Regal Entertainment 15% $ Sam Goody $25.00 6% $ Shell $50.00 **2.50 $ $9.50 % Sam's Club $100.00 2% $ Regis Salons $25.00 8% $ Shoe Carnival $25.00 5% $ Sam's Club $25.00 2% $ Regis Signature 8% $ Shop 'N Save (Not 5% $ Salon $25.00 Sam's Club $250.00 2% $ Chicago) $100.00 REI Sporting Goods 8% $ Shop 'N Save (Not 5% $ $25.00 San Luis Resort 9% $ Chicago) $25.00 $25.00 Renaissance Hotels 8% $ Shopko $25.00 2% $ & Resorts $100.00 Saturday's Family 8% $ Hair Care $25.00 Shopko $50.00 2% $ Renaissance Hotels 8% $ & Resorts $50.00 Sav-A-Center 4% $ $100.00 ShopRite $100.00 4% $ Renaissance Hotels 8% $ & Resorts $500.00 Sav-A-Center $25.00 4% $ ShopRite $25.00 4% $ Residence Inn 8% $ SaveRite Grocery 4% $ Showcase $25.00 9% $ $100.00 Warehouse $100.00 Shutterfly $25.00 9% $ Residence Inn $50.00 8% $ SaveRite Grocery 4% $ Warehouse $25.00 Simms Landing 9% $ Residence Inn 8% $ $25.00 $500.00 Scoozi $25.00 12% $ Sinclair Oil $100.00 2% $ Restoration 12% $ Scrip Wallet $1.00 15% $ Hardware $100.00 Sinclair Oil $25.00 2% $ Sears $100.00 4% $ Restoration 12% $ Hardware $25.00 Sing Sing Dueling 6% $ Sears $25.00 4% $ Pianos $25.00 Rich Gas $100.00 4% $ Sears $250.00 4% $ Sinigual $25.00 9% $ Rich Gas $25.00 4% $ Sears Auto Service 4% $ Skirvin Hilton $25.00 9% $ Rite Aid $25.00 4% $ Center $100.00 Sleep Inn $100.00 4% $ Sears Auto Service 4% $ Ritz-Carlton Hotel 8% $ Center $25.00 Company, LLC Sleep Inn $50.00 4% $ $50.00 Sears Auto Service 4% $ Center $250.00 SmartStyle $25.00 8% $ River Crab $25.00 9% $ See's Candies 23% $ Software Etc. $25.00 3% $ Rock Bottom 6% $ $15.60 Restaurant $25.00 Souplantation $25.00 8% $ Sentry $10.00 3% $ Rocky Mountain 11% $ Spa Finder $25.00 12% $ Chocolate Factory Sentry $50.00 3% $ $10.00 Spaghetti Warehouse 18% $ Sephora $20.00 4% $ Ross Dress for Less 8% $ $20.00 $25.00 Shaw's Crab House 12% $ Speedway $100.00 4% $ Roy's $25.00 5% $ $25.00 Speedway $25.00 4% $ Shaw's Supermarket 4% $ Ruby Tuesday 8% $ $100.00 $25.00 Speedway Food 7.00% $ Shaw's Supermarket 4% $ Court Card $20.00 Ruth's Chris Steak 10% $ $25.00 House $50.00 Sports Authority **11% $ Sheetz Gasoline 3% $ $100.00 Ryan's Grill, Buffet 5% $ $100.00 and Bakery $25.00 Sports Authority **11% $ Sheetz Gasoline 3% $ $25.00 Safeway $100.00 4% $ $25.00 Spring Hill Suites 8% $ Safeway $25.00 4% $ Sheldon Cleaners 9% $ $100.00 $5.00 Spring Hill Suites 8% $ Sally Beauty Supply 12% $ $50.00 $25.00 Shell $100.00 **2.50 $ % Spring Hill Suites 8% $ Saltgrass 9% $ $500.00 Steakhouse $25.00 Shell $25.00 **2.50 $ %

Name Customer #

Check # Order Date

St. Louis Bread 9% $ T-Rex $25.00 9% $ Tru $25.00 12% $ Company $10.00 T.J. Maxx $100.00 7.00% $ Tucci Benucch 12% $ St. Louis Bread 9% $ $25.00 Company $25.00 T.J. Maxx $25.00 7.00% $ Tully's Coffee $10.00 10% $ Staples $100.00 5% $ Talbots $25.00 13% $ Twin City Grill $25.00 12% $ Staples $25.00 5% $ Tanger Outlets 8% $ Ulta Salon $25.00 4% $ Star Market $100.00 4% $ $25.00 Tesoro $25.00 2% $ Ultra Service Center 2% $ Star Market $25.00 4% $ $250.00 Texaco $25.00 2% $ Star Theatre $25.00 7.00% $ Ultra Service Center 1.50% $ Texas Roadhouse 8% $ $50.00 Star Theatre $9.50 16% $ $25.00 United Artist Theater 8% $ Starbucks $10.00 7.00% $ TGF Hair Salon 8% $ $25.00 $25.00 United Artist Theater 15% $ Starbucks $25.00 7.00% $ TGI Friday's $25.00 **10% $ $9.50 Stater Bros. Markets 5% $ Uno Chicago Grill 12% $ $100.00 the bridge Cinema de 9% $ $25.00 Lux $25.00 Stater Bros. Markets 5% $ Vic & Anthony's 9% $ $25.00 The Children's Place 12% $ Steakhouse $25.00 $25.00 Steak 'n Shake 8% $ VISA $100.00 2% $ $10.00 The Container Store 9% $ $100.00 VISA $25.00 2% $ Stop & Shop $100.00 4% $ The Container Store 9% $ VISA $50.00 2% $ Stop & Shop $25.00 4% $ $25.00 The Great Indoors 4% $ Vong's Thai Kitchen 12% $ stripburger at Cafe 12% $ $100.00 $25.00 Ba-Ba-Reeba! $25.00 The Great Indoors 4% $ Vons $100.00 4% $ Style America $25.00 8% $ $25.00 Vons $25.00 4% $ Subway $10.00 3% $ The Great Indoors 4% $ $250.00 Wal-Mart $100.00 2% $ Subway $50.00 3% $ The Restaurant at the 9% $ Wal-Mart $25.00 2% $ Suncoast Smoothies 8% $ Platinum $25.00 $20.00 Timber Ridge Lodge 9% $ Wal-Mart $250.00 2% $ Suncoast Video 6% $ $25.00 Waldbaum's $100.00 4% $ $25.00 Tobacco Outlet Plus 4% $ Sunglass Hut $25.00 12% $ $100.00 Waldbaum's $25.00 4% $ Tobacco Outlet Plus 4% $ Sunoco $250.00 2% $ $20.00 Waldenbooks $10.00 9% $ Sunoco $50.00 1.50% $ Tom Thumb $100.00 4% $ Waldenbooks $25.00 9% $

Super Fresh $100.00 4% $ Tom Thumb $25.00 4% $ Walgreens $100.00 6% $

Super Fresh $25.00 4% $ Tony Packo's $25.00 14.00 $ Walgreens $25.00 6% $ % Super G $100.00 4% $ Tower of the 9% $ Walnut Brewery 6% $ Americas $25.00 $25.00 Super G $25.00 4% $ Towne Place Suites 8% $ Wawa $100.00 1.50% $ SuperAmerica 4% $ $100.00 $100.00 Wawa $25.00 1.50% $ Towne Place Suites 8% $ SuperAmerica $25.00 4% $ $50.00 Well Spa, The Pfister 9% $ $25.00 Supercuts $25.00 8% $ Towne Place Suites 8% $ $500.00 Wendy's $10.00 4% $ Sweet Tomatoes 8% $ Toys-R-Us $20.00 1.50% $ $25.00 West Elm $100.00 8% $

Name Customer #

Check # Order Date

West Elm $25.00 8% $

Wherehouse Music 6% $ $25.00 White Barn Candle 13% $ Co $10.00 White Barn Candle 13% $ Co $25.00 White River Fish 9% $ House $100.00 White River Fish 9% $ House $25.00 Who-Song & Larry's 9% $ $25.00 Wildfire $25.00 12% $

Williams-Sonoma 8% $ $100.00 Williams-Sonoma 8% $ $25.00 Williams-Sonoma 8% $ Home $100.00 Williams-Sonoma 8% $ Home $25.00 Willie G's $25.00 9% $

Winn Dixie $100.00 4% $

Winn Dixie $25.00 4% $

Wow Bao $25.00 12% $

Yak & Yeti $25.00 9% $

Yard House 8% $ Restaurants $25.00 Younkers $100.00 8% $

Younkers $25.00 8% $

Zappos.com $25.00 8% $

Product % Qty Total $

Make Checks Payable To: Hillsboro Elementary School Total Due All Columns: $ **Limited time bonus offer. Participating retailers and products are subject to change without notice.