Family Order Form Created: 8/30/2021 10:48:53 AM J. S. Waters PTA
Name Customer #
Check # Order Date
Product % QTY Total Product % QTY Total Product % QTY Total Academy Sports + 4% $ Denny's $10.00 7% $ Pottery Barn $25.00 8% $ Outdoors $25.00 Dick's Sporting Goods 8% $ Red Robin $25.00 8% $ Aeropostale $25.00 10% $ $25.00 Ross Dress for Less 8% $ Amazon.com $100.00 2% $ Discover Gift Card - No 1.25% $ $25.00 Activation Fee $100.00 Amazon.com $25.00 2% $ Sally Beauty $25.00 12% $ Domino's $10.00 8% $ American Eagle® 10% $ Sheetz $25.00 3% $ $25.00 Domino's $25.00 8% $ Shutterfly $25.00 9% $ Applebee's $25.00 8% $ Dunham's Sports 8% $ $25.00 Sonic $10.00 8% $ Arby's $10.00 8% $ Dunkin' Donuts $10.00 3% $ Starbucks $10.00 4.5% $ Barnes & Noble $10.00 8% $ Golden Corral $25.00 9% $ Starbucks $25.00 4.5% $ Bass Pro Shops $25.00 10% $ Hardee's $10.00 5% $ Steak 'n Shake $10.00 8% $ Bath & Body Works 12% $ Home Depot® $25.00 4% $ $10.00 Subway Restaurants 4.5% $ Bath & Body Works 12% $ IHOP $25.00 8% $ $10.00 $25.00 sweetFrog $10.00 10% $ iTunes & App Store 5% $ Bed Bath & Beyond 7% $ $15.00 $25.00 T.J. 7% $ Kohl's $25.00 4% $ Maxx/Marshalls/HomeG Belk $25.00 8% $ oods/Sierra $25.00 Krispy Kreme® 8% $ Taco Bell $10.00 5% $ Best Buy $25.00 4% $ Doughnut Corporation $10.00 Bonefish Grill $25.00 10% $ Tanger Outlets $25.00 8% $ Lane Bryant® $25.00 8% $ Buffalo Wild Wings® 8% $ Target $10.00 2.5% $ $10.00 Little Caesars Pizza 8% $ $20.00 Target $100.00 2.5% $ Buffalo Wild Wings® 8% $ $25.00 LongHorn Steakhouse 8% $ Target $25.00 2.5% $ $25.00 Build-A-Bear 8% $ Workshop® $25.00 Lowe's $100.00 4% $ Texas Roadhouse 8% $ $25.00 Burger King $10.00 4% $ Lowe's $25.00 4% $ TGI Fridays $25.00 9% $ Cabela's $25.00 10% $ Maggiano's Little Italy 11% $ ULTA $25.00 6% $ $25.00 Carrabba's Italian Grill 10% $ $25.00 Marathon $25.00 3% $ Under Armour $25.00 11% $
Cheesecake Factory 5% $ Maurices $20.00 7% $ Visa Gift Card - No 1.25% $ $25.00 Activation Fee $100.00 Children's Place $25.00 12% $ Michaels $25.00 4% $ Visa Gift Card - No 1.25% $ Activation Fee $50.00 Chili's Grill & Bar $25.00 11% $ Noodles & Company 8% $ $10.00 Walmart $100.00 2.5% $ Chipotle Mexican Grill 10% $ Old Navy $25.00 14% $ $10.00 Walmart $25.00 2.5% $ Claire's $10.00 9% $ Olive Garden $25.00 8% $ Walmart $50.00 2.5% $
Cold Stone Creamery 11% $ Outback Steakhouse 10% $ Wendy's $10.00 6.5% $ $10.00 $25.00 Zaxby's $25.00 8% $ Cold Stone Creamery 11% $ P.F. Chang's China 8% $ $5.00 Bistro $25.00 Cracker Barrel $10.00 8% $ Panera Bread $10.00 8% $
Cracker Barrel $25.00 8% $ Panera Bread $25.00 8% $
CVS Pharmacy $25.00 6% $ Papa John's Pizza 8% $ $10.00 Dairy Queen $10.00 3% $ Pizza Hut $10.00 8% $
Make Checks Payable To: J. S .Waters PTA Total Due All Columns: $