Family Order Form Created: 9/8/2020 8:24:34 PM Liberty Christian School ***Enroll and visit RaiseRight App for instant ScripNow! (Order while dining or shopping) Over 300 vendors Online, Cards available at LCS finance window. Visit shopwithscrip.com or email [email protected] for more information.

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total 1-800-Baskets $50.00 12% $ Black Angus 12% $ Container Store $25.00 9% $ Steakhouse $25.00 1-800-Flowers $50.00 12% $ Courtyard by Marriott 6% $ Blimpie $10.00 11% $ $100.00 76 Gas $100.00 1.5% $ Bonefish Grill $25.00 10% $ Cracker Barrel $25.00 8% $ Ace Hardware $100.00 4% $ Bonefish Grill $50.00 10% $ Crate and Barrel $25.00 8% $ Ace Hardware $25.00 4% $ Bubba Gump Shrimp 9% $ CVS Pharmacy $25.00 6% $ adidas $25.00 13% $ Co. $100.00 Dairy Queen $10.00 3% $ Bubba Gump Shrimp 9% $ aerie $25.00 10% $ Co. $25.00 Darden Restaurants 8% $ Aeropostale $25.00 10% $ Buckle $25.00 8% $ $25.00 $10.00 7% $ Albertsons $100.00 4% $ Budget Car Rental 8% $ $50.00 Delta Air Lines $250.00 4% $ Albertsons $25.00 4% $ Buffalo Wild Wings® 8% $ $10.00 Denny's $10.00 7% $ Amazon.com $100.00 2.25% $ Buffalo Wild Wings® 8% $ Dick's Sporting Goods 8% $ Amazon.com $25.00 2.25% $ $25.00 $25.00 AMC Theatres $25.00 8% $ Build-A-Bear Workshop 8% $ Discover Gift Card - No 1.25% $ $25.00 Activation Fee $100.00 American Eagle® 10% $ Burger King $10.00 4% $ Discover Gift Card - No 1.25% $ $25.00 Activation Fee $50.00 Burlington $25.00 8% $ Applebee's $25.00 8% $ Disney $100.00 3% $ Cabela's $25.00 10% $ Applebee's $50.00 8% $ Domino's $10.00 8% $ Arby's $10.00 8% $ Pizza Kitchen 8% $ $25.00 Domino's $25.00 8% $ ARCO $100.00 1.5% $ Carl's Jr. $10.00 5% $ Double Tree By Hilton 2% $ $100.00 ARCO $50.00 1.5% $ Carnival Cruise Lines 8% $ $100.00 DSW (Designer Shoe 8% $ AutoZone $25.00 8% $ Warehouse) $25.00 Carter's $25.00 10% $ Banana Republic 14% $ Dunkin' Donuts $10.00 3% $ $100.00 Cenex $100.00 3% $ Econo Lodge $50.00 4% $ Banana Republic 14% $ Champs Sports $25.00 8% $ $25.00 Exxon $250.00 1% $ Barnes & Noble $10.00 8% $ Cheesecake Factory 5% $ $25.00 Exxon $50.00 1% $ Barnes & Noble $25.00 8% $ Children's Place $25.00 12% $ Fairfield by Marriott 6% $ $100.00 Bass Pro Shops 10% $ Chili's Grill & Bar $25.00 11% $ $100.00 Famous Footwear 8% $ $25.00 Bath & Body Works 12% $ Chipotle Mexican Grill 10% $ $10.00 $10.00 Fandango $25.00 4% $ Choice Hotels $50.00 4% $ Bath & Body Works 12% $ Foot Locker $25.00 8% $ $25.00 Chuck E. Cheese's 8% $ Bed Bath & Beyond 7% $ $10.00 Footaction USA $25.00 8% $ $100.00 Claim Jumper $25.00 9% $ GameStop $25.00 3% $ Bed Bath & Beyond 7% $ $25.00 Claire's $10.00 9% $ Gap $100.00 14% $ Best Buy $100.00 4% $ Clarion Hotels $100.00 4% $ Gap $25.00 14% $ Best Buy $25.00 4% $ Cold Stone Creamery 11% $ Great Clips $25.00 8% $ $10.00 Best Western 12% $ International $100.00 Comfort Inn $100.00 4% $ Great Harvest Bread 6% $ $10.00 8% $ Comfort Suites $100.00 4% $ $25.00 Groupon.com $25.00 7% $

Make Checks Payable To: Liberty Christian School ( LCS ) Total Due All Columns: $ Family Order Form Created: 9/8/2020 8:24:34 PM Liberty Christian School ***Enroll and visit RaiseRight App for instant ScripNow! (Order while dining or shopping) Over 300 vendors Online, Cards available at LCS finance window. Visit shopwithscrip.com or email [email protected] for more information.

Name Customer #

Check # Order Date

Product % QTY Total Product % QTY Total Product % QTY Total Hallmark $25.00 4% $ Mobil $50.00 1% $ See's Candies $25.00 9% $

Hilton $100.00 2% $ Nike $25.00 12% $ Shell $100.00 1.5% $

Home Depot® $100.00 4% $ Nordstrom $25.00 4% $ Shell $50.00 1.5% $

Home Depot® $25.00 4% $ Office Depot / Office 5% $ Shutterfly $25.00 9% $ Max $100.00 Hotels.com $100.00 6% $ Starbucks $10.00 7% $ Office Depot / Office 5% $ IHOP $25.00 8% $ Max $25.00 Starbucks $25.00 7% $ Old Navy $25.00 14% $ J. Crew $25.00 13% $ Subway Restaurants 6% $ Olive Garden $100.00 8% $ $10.00 Jack in the Box $10.00 4% $ Subway Restaurants 6% $ Olive Garden $25.00 8% $ JCPenney $100.00 5% $ $50.00 OshKosh $25.00 10% $ Supercuts $25.00 8% $ JCPenney $25.00 5% $ Outback Steakhouse 10% $ T.J. Maxx $25.00 7% $ Jiffy Lube $30.00 8% $ $25.00 Taco Bell $10.00 5% $ Jo-Ann Fabric and Craft 6% $ Outback Steakhouse 10% $ Stores $25.00 $50.00 Taco Bell $25.00 5% $ Joe's Crab Shack 9% $ Overstock.com $25.00 8% $ $25.00 Target $100.00 2.5% $ Panera Bread $10.00 8% $ Journeys $25.00 10% $ Target $25.00 2.5% $ Panera Bread $25.00 8% $ Kids Foot Locker $25.00 8% $ Roadhouse 8% $ Papa John's Pizza 8% $ $100.00 Kohl's $25.00 4% $ $10.00 Texas Roadhouse 8% $ Krispy Kreme® 8% $ Papa Murphy's Pizza 8% $ $25.00 Doughnut Corporation $10.00 TGI Fridays $25.00 9% $ $10.00 PetSmart $25.00 5% $ Kwik Trip $25.00 4% $ The Home Depot® 4% $ Pilot Flying J $100.00 2% $ $100.00 L.L.Bean $25.00 16% $ The Home Depot® 4% $ Pizza Hut $10.00 8% $ $25.00 Lady Foot Locker 8% $ $25.00 Pottery Barn $25.00 8% $ ULTA $25.00 4% $ Lands' End $100.00 15% $ Princess Cruises 6% $ Under Armour $25.00 11% $ $100.00 Lane Bryant $25.00 8% $ Visa Gift Card - No 1.25% $ Qdoba Mexican Grill 7% $ Activation Fee $100.00 Little Caesars Pizza 8% $ $25.00 $20.00 Visa Gift Card - No 1.25% $ Quality Inn $100.00 4% $ Activation Fee $250.00 Lowe's $100.00 4% $ Quality Inn $50.00 4% $ Visa Gift Card - No 1.25% $ Lowe's $25.00 4% $ Activation Fee $50.00 Red Lobster $25.00 8% $ Walgreens $100.00 5% $ Macy's $100.00 10% $ Red Robin $25.00 8% $ Walgreens $25.00 5% $ Macy's $25.00 10% $ REI $25.00 8% $ Walmart $100.00 2.5% $ Marriott Hotels & 6% $ $25.00 4% $ Resorts $100.00 Walmart $25.00 2.5% $ Marshalls $25.00 7% $ Ross Dress for Less 8% $ $25.00 Walmart $250.00 2.5% $ Maurices $20.00 7% $ Ruth's Chris Steak 10% $ Walmart $500.00 2.5% $ Men's Wearhouse 8% $ House $50.00 Wendy's $10.00 6.5% $ $25.00 Safeway $100.00 4% $ Michaels $25.00 4% $ Williams Sonoma 8% $ Safeway $25.00 4% $ $100.00 Mobil $250.00 1% $ Sally Beauty $25.00 12% $

Make Checks Payable To: Liberty Christian School ( LCS ) Total Due All Columns: $