Family Order Form Created: 4/12/2017 3:23:58 PM Mount Aviat Academy Name Customer # Check # Order Date Product % QTY Total Product % QTY Total Product % QTY Total Ace Hardware $25.00 4% $ Chevron $50.00 1% $ IHOP $25.00 8% $ Advance Auto Parts 7% $ Children's Place $25.00 12% $ iTunes® $15.00 5% $ $25.00 Chili's Grill & Bar $25.00 11% $ iTunes® $25.00 5% $ Amazon.com $25.00 2.5% $ Claire's $10.00 9% $ J. Crew $25.00 13% $ American Eagle 10% $ Outfitters $25.00 Cold Stone Creamery 8% $ jcpenney $25.00 5% $ Applebee's® $25.00 8% $ $10.00 Jiffy Lube $30.00 8% $ Cracker Barrel $10.00 8% $ Arby's $10.00 8% $ Jo-Ann Fabric and Craft 6% $ Cracker Barrel $25.00 8% $ AutoZone $25.00 8% $ Stores $25.00 Crate and Barrel $25.00 8% $ Kids Foot Locker $25.00 8% $ Babies"R"Us $20.00 3% $ CVS Pharmacy® 6% $ Kmart $25.00 4% $ Bahama Breeze ® 8% $ $25.00 $25.00 Kohl's $100.00 4% $ Dairy Queen $10.00 3% $ Barnes & Noble $10.00 8% $ Kohl's $25.00 4% $ Dave & Buster's $25.00 13% $ Barnes & Noble $25.00 8% $ L.L.Bean $25.00 16% $ Denny's $10.00 7% $ Bass Pro Shops $25.00 9% $ Lady Foot Locker 8% $ Dick's Sporting Goods 8% $ $25.00 Bath & Body Works 13% $ $100.00 $10.00 Lands' End $100.00 16% $ Dick's Sporting Goods 8% $ Bed Bath & Beyond 7% $ $25.00 $25.00 Lands' End $25.00 16% $ Disney $25.00 2% $ Bertucci¶s Italian 10% $ Lane Bryant $25.00 8% $ Restaurant $25.00 Domino's $10.00 8% $ Best Buy® $25.00 4% $ Little Caesar's Pizza 8% $ Dressbarn $25.00 8% $ $20.00 Bob Evans $10.00 10% $ LongHorn Steakhouse 8% $ Dunkin' Donuts $10.00 3% $ ® $25.00 Bon-Ton $25.00 8% $ Electronics Boutique 3% $ Lord & Taylor $25.00 8% $ Bonefish Grill $25.00 8% $ $25.00 Lowe's $100.00 4% $ Express $25.00 10% $ Boscov's $25.00 8% $ Lowe's $1000.00 4% $ Express for Men $25.00 10% $ Boston Market $10.00 12% $ Lowe's $20.00 4% $ Exxon $50.00 1% $ BP $50.00 1.5% $ Lowe's $25.00 4% $ Foot Locker $25.00 8% $ Buffalo Wild Wings 8% $ Lowe's $500.00 4% $ $10.00 Funcoland $25.00 3% $ Buffalo Wild Wings 8% $ Macaroni Grill $25.00 11% $ $25.00 GameStop $25.00 3% $ Macy's $25.00 10% $ Build-A-Bear Workshop 8% $ Gap $25.00 14% $ $25.00 Marshalls $25.00 7% $ Burger King $10.00 4% $ GNC $25.00 8% $ Martin's Food Market 4% $ Burlington Coat Factory 8% $ Great Harvest Bread 6% $ (MD, PA, VA, WV) $25.00 $10.00 $100.00 buybuyBABY $25.00 7% $ Grotto $25.00 9% $ Martin's Food Market 4% $ (MD, PA, VA, WV) Gymboree $25.00 13% $ Cabela's $100.00 11% $ $25.00 Cabela's $25.00 11% $ Hallmark $25.00 4% $ Martin's Food Market 4% $ (MD, PA, VA, WV) Carrabba's Italian Grill 8% $ Holiday Hair $25.00 8% $ $50.00 $25.00 Honey Baked Ham 12% $ Men's Wearhouse 8% $ Champs Sports $25.00 8% $ $25.00 $25.00 Icing $10.00 9% $ Michaels $25.00 4% $ Make Checks Payable To: MAA Total Due All Columns: $ Family Order Form Created: 4/12/2017 3:23:58 PM Mount Aviat Academy Name Customer # Check # Order Date Product % QTY Total Product % QTY Total Mobil $50.00 1% $ ShopRite $25.00 4% $ Nike $25.00 12% $ Shutterfly $25.00 9% $ Office Depot / Office 5% $ Speedway $25.00 4% $ Max $25.00 Starbucks $10.00 7% $ Old Navy $25.00 14% $ Steak 'n Shake $10.00 8% $ Olive Garden ® $25.00 8% $ SUBWAY® Restaurants 6% $ Omaha Steaks $25.00 11% $ $10.00 Outback Steakhouse 8% $ Sunoco $50.00 1% $ $25.00 T.J. Maxx $25.00 7% $ Overstock.com $25.00 8% $ Taco Bell $10.00 5% $ Panera Bread $10.00 8% $ Talbots $25.00 13% $ Panera Bread $25.00 8% $ Tanger Outlets $25.00 8% $ Papa John's Pizza 8% $ $10.00 Target $100.00 2.5% $ Payless Shoes $20.00 13% $ Target $25.00 2.5% $ Peebles $25.00 8% $ Texas Roadhouse 8% $ Pep Boys $20.00 4% $ $25.00 TGI Fridays $25.00 9% $ PetSmart $25.00 5% $ The Home Depot 4% $ Pier 1 Imports $25.00 9% $ $100.00 Pizza Hut (Not AK or HI) 8% $ The Home Depot 4% $ $10.00 $25.00 Pottery Barn $25.00 8% $ The Home Depot 4% $ $500.00 Rainforest Cafe $25.00 9% $ Toys"R"Us $20.00 3% $ Red Lobster ® $25.00 8% $ Uno Pizzeria & Grill 12% $ Red Robin $25.00 8% $ $25.00 Walgreens $25.00 6% $ Regal Theatres $25.00 8% $ Walmart $100.00 2.5% $ Restaurant.com $20.00 50% $ Walmart $25.00 2.5% $ Rite Aid $25.00 4% $ Wawa $100.00 1.5% $ Ruby Tuesday $25.00 8% $ Wawa $25.00 1.5% $ Ruth's Chris Steak 10% $ House $50.00 Wendy's $10.00 4% $ Sally Beauty Supply 12% $ $25.00 Williams Sonoma 8% $ $25.00 Sam's Club $25.00 2.5% $ Zappos.com $25.00 8% $ Sears $25.00 4% $ Sephora $20.00 5% $ Sheetz $25.00 3% $ Shell $100.00 2% $ Shell $25.00 2% $ ShopRite $100.00 4% $ Make Checks Payable To: MAA Total Due All Columns: $.