Make checks payable to: LOURDES HOME & SCHOOL IN STOCK & AVAILABLE Office Order OR MASS TIME: SAT 5 / 8:30 / 10:30 / 5 Initial _____

Restaurants # ordered Cost Total Office Specialty Stores # ordered Cost Total Office Grocery # ordered Cost Total Office Applebee's 8% $25 4% $25 Schnucks N/A Please come and get ARBY'S 8% $10 $100 your Schnucks eCARD! Barrell House 20% $25 American Eagle Outfitters 9% $25 Hyvee 3% $50 Buffalo Wild Wings 8% $10 Barnes & Noble Bookstores 8% $10 $25 $25 $100 Bruegger's Bagels 5% $10 Bath & Body Works 13% $10 (Bett. Store) 3% $25 Burger King 4% $10 Bed, Bath, & Beyond 7% $25 $50 Chili's 11% $25 Best Buy 2% $25 $100 Chipotle Mexican Grill 10% $10 Bettendorf Office Products/ 10% $20 $25 BP Gas 2% $100 WAL-MART / SAM'S 2% $25 Cold Stone Creamery 8% $10 $50 CLUB $100 Cracker Barrel 9% $10 Burke Cleaners 10% $25 $250 Culver's 10% $10 CVS Pharmacy 6% $25 Dewey's-Café at Bett. Library 10% $5 Claire's 9% $10 Clothing Dominos Pizza 5% $10 Dick's Sporting Goods 5% $25 American Eagle Outfitters 9% $25 Dunkin' Donuts 3% $10 Dunham's Sports 8% $25 Dillards 9% $25 Granite City 15% $25 Family Video 15% $10 The Gap/Old Navy 9% $25 Happy Joe's 17% $10 Five Star 20% $25 JCPenney 6% $25 Hungry Hobo 15% $10 Gander Mountain 8% $25 $100 Little Caesar's 8% $20 Hallmark 4% $25 KOHL'S 5% $25 Lunardi's 10% $10 Home Depot 3% $25 *** OK to pay charge balance $100 Noodles & Company 8% $10 iTunes 2% $15 Old Chicago 6% $25 $25 Olive Garden 9% $25 Joann Fabric 6% $25 Lands End 17% $25 Outback Steakhouse 5% $25 Kwik Star 4% $50 Marshalls/T.J. Maxx 7% $25 Panera Bread 9% $10 Lowe's Home Improvement 4% $25 $25 $100 GENERIC SCRIP COUP ??? $50 Monkey Joe's 15% $25 PAPA JOHN'S PIZZA 8% $10 PetsMart 4% $25 COLUMN C TOTAL $ Pizza Hut 8% $10 Religious Supply Center 10% $20 Pizza Ranch 10% $25 Shell Gas 1.5% $25 NAME: Jersey Grill/Rookies 20% $10 Shutterfly 9.0% $25 PHONE: Red Robin 9% $25 Starbucks 7% $10 CHILD'S NAME: SUBWAY 3% $10 $25 TEACHER: / A B Steak 'n Shake 6% $10 TARGET 2% $25 DATE OF ORDER: Taco Bell 5% $10 $100 Column A Total Texas Roadhouse 8% $25 ULTA 4% $25 Column B Total Trattoria Tiramisu 10% $20 Walgreens 6% $25 OFFICE PICKUP Column C Total Waterfront Deli 10% $10 $100 Column D Total (back) Wendy's 4% $10 Wallace's Garden Center 15% $20 Column E Total (back) Whitey's 10% $5 WaterPark Car Wash 20% $15 □ Write GRAND TOTAL below: Wise Guys Pizza 25% $10 Xpress Tunnel Wash 28% $25

COLUMN A TOTAL $ COLUMN B TOTAL $ * * * * * * * NO REFUNDS ON LOST OR STOLEN GIFT CARDS * * * * * * *

Get The App! www.RaiseRight.com/app Please send orders to school with your child on Mondays. Orders will be filled on Friday and sent home Shop Online with www.ShopWithScrip.com with the child specified in the box at the right. Enrollment Code: E42534A21543 Our Lady of Lourdes Catholic School You can now use your credit card to shop! Check out www.ShopWithScrip.com Form Revision Date: 10/5/2020

10/5/20 *** THESE GIFT CARDS NEED TO BE ORDERED AND ARE NOT KEPT IN STOCK ***

Restaurants # ordered Cost Total Office Stores (cont.) # ordered Cost Total Office Menard's 3% $25 $100 MEN'S WEARHOUSE** 8% $25 Michael's Craft Store 4% $25 Office Max** 5% $25 **Various hotel accomodations in Des Moines Pier 1 Imports** 9% $25 Kansas, Milwaukee,and Twin Cities (see gift cards)

Retail Stores 1Comfort Inn includes: Amazon.com 4% $25 Shutterfly 9% $25 Comfort Inn, Clarion, Quality, Sleep Inn, $100 MainStay Suites American Eagle Outfitters** 9% $25 Staples 5% $25 Build-A-Bear Workshop** 8% $25 Cabela's** 11% $25 Talbot's** 8% $25 Crazy 8 $25 The Children's Place** 12% $25 Williams Sonoma/Pottery Barn ** 8% $25 Crate & Barrel** 8% $25 $100 Disney** 2% $25 $100 $1,000 Specialty Items Express** 13% $25 BEST WESTERN INT'L** 12% $25 $100 GameStop/EB Games** 3% $25 Comfort Inn1** 6% $25 The Gentry Shop 10% $50 $100 - not valid on sale merchandise $100 HYATT Hotels** 9% $25 7% $25 $100 Hallmark 4% $25 Hilton 2% $100 J.Crew** 13% $25 Joann Fabrics 6% $25 Heart of America 8% Kevin Walker Photography 50% $50 $100 Column E Total $

Maurices 7% $20

Column D Total $ THANK YOU FOR YOUR SUPPORT ! ! !

You can now use your credit card to shop check out ShopWithScrip.com.

K&K Hardware/Minuteman Press/Thoms Proestler Co. (TPC): Mention "Lourdes" when you check out.

10/5/20