Family Order Form Created: 9/30/2015 12:20:42 PM Rydal Elementary School/Rydal, PA Orders will be collected on the following dates: Oct. 5, Nov. 2, Nov. 30, December 7, Jan.11, Feb. 8, March 7, Apr. 4, May 2, May 31 Name Customer # Check # Order Date Product QTY Total Product QTY Total Product QTY Total 99 Restaurants $25.00 $ Bass Pro Shops $ Burlington Coat Factory $ $100.00 $25.00 A Pea in the Pod $25.00 $ Bass Pro Shops $25.00 $ Cabela's $100.00 $ A.C. Moore $25.00 $ Bath & Body Works $ Cabela's $25.00 $ Ace Hardware $100.00 $ $10.00 Cambria Suites $100.00 $ Bath & Body Works $ Ace Hardware $25.00 $ $25.00 Carnival Cruise Lines $ Advance Auto Parts $ Bed Bath & Beyond $ $100.00 $25.00 $100.00 Carrabba's Italian Grill $ Aeropostale $25.00 $ Bed Bath & Beyond $ $25.00 $25.00 Carrabba's Italian Grill $ Amazon.com $100.00 $ BedandBreakfast.com $ $50.00 $50.00 Amazon.com $25.00 $ Casual Male XL $25.00 $ Bertucci¶s Italian $ AMC Theatres $25.00 $ Restaurant $25.00 Chart House $100.00 $ AMC Theatres Gold $ Best Buy® $100.00 $ Chart House $25.00 $ Ticket $9.50 Best Buy® $25.00 $ Children's Place $25.00 $ American Eagle $ Outfitters $25.00 Best Buy® $250.00 $ Chili's Grill & Bar $25.00 $ American Girl $100.00 $ Best Western $ Chipotle Mexican Grill $ International $100.00 American Girl $25.00 $ $10.00 Best Western $ Christmas Tree Shops $ Applebee's $25.00 $ International $25.00 $100.00 Applebee's $50.00 $ Bloomingdale's $100.00 $ Christmas Tree Shops $ $25.00 Bloomingdale's $25.00 $ Arby's $10.00 $ Chuck E. Cheese $ $10.00 AutoZone $25.00 $ Bob Evans $10.00 $ Claire's $10.00 $ Avis Car Rental $50.00 $ Bonefish Grill $25.00 $ Clarion Hotels $100.00 $ Babbage's $25.00 $ Bonefish Grill $50.00 $ Cold Stone Creamery $ Babies"R"Us $100.00 $ Boscov's $25.00 $ $10.00 Babies"R"Us $20.00 $ Boston Market $10.00 $ Comfort Inn $100.00 $ Bahama Breeze ® $ BP $100.00 $ Comfort Inn $50.00 $ $25.00 BP $250.00 $ Comfort Suites $100.00 $ Baja Fresh $25.00 $ BP $50.00 $ Comfort Suites $50.00 $ Banana Republic $ $100.00 Brooks Brothers $25.00 $ Container Store $ $100.00 Banana Republic $ Bruster's Ice Cream $ $25.00 $10.00 Container Store $25.00 $ Barnes & Noble $10.00 $ Buca di Beppo $25.00 $ Country Buffet $25.00 $ Barnes & Noble $ Budget Car Rental $ Cracker Barrel $10.00 $ $100.00 $50.00 Cracker Barrel $25.00 $ Barnes & Noble $25.00 $ Buffalo Wild Wings $ $10.00 Barnes & Noble College $ Crate and Barrel $ Bookstores $10.00 Buffalo Wild Wings $ $100.00 $25.00 Barnes & Noble College $ Crate and Barrel $25.00 $ Bookstores $100.00 Build-A-Bear Workshop $ $25.00 Crew Cuts $25.00 $ Barnes & Noble College $ Bookstores $25.00 Burger King $10.00 $ CVS/pharmacy $100.00 $ Make Checks Payable To: Rydal Elementary School Total Due All Columns: $ Family Order Form Created: 9/30/2015 12:20:42 PM Rydal Elementary School/Rydal, PA Orders will be collected on the following dates: Oct. 5, Nov. 2, Nov. 30, December 7, Jan.11, Feb. 8, March 7, Apr. 4, May 2, May 31 Name Customer # Check # Order Date Product QTY Total Product QTY Total Product QTY Total CVS/pharmacy $25.00 $ Golfsmith $25.00 $ Lands' End Kids $ $100.00 Dairy Queen $10.00 $ Great Clips $25.00 $ Lands' End Kids $25.00 $ Dave & Buster's $25.00 $ Gulf Oil $25.00 $ Lands' End School $ Dell Computer $100.00 $ Gymboree $25.00 $ $100.00 Lands' End School $ Denny's $10.00 $ Hallmark $25.00 $ $25.00 Dick's Sporting Goods $ Hard Rock Cafe $25.00 $ Lane Bryant $25.00 $ $100.00 HomeGoods $100.00 $ Legal Sea Foods $ Dick's Sporting Goods $ $25.00 $25.00 HomeGoods $25.00 $ Limited $25.00 $ Disney $100.00 $ Honey Baked Ham $ Loews Cineplex $25.00 $ Disney $1000.00 $ $25.00 Hyatt Hotels $100.00 $ LongHorn Steakhouse $ Disney $25.00 $ ® $25.00 Hyatt Hotels $50.00 $ Domino's $10.00 $ Lord & Taylor $25.00 $ Icing $10.00 $ Dressbarn $25.00 $ Lowe's $100.00 $ IHOP $25.00 $ Dunkin' Donuts $10.00 $ Lowe's $1000.00 $ iTunes® $15.00 $ Dunkin' Donuts $25.00 $ Lowe's $20.00 $ iTunes® $25.00 $ EB Games $25.00 $ Lowe's $25.00 $ J. Crew $25.00 $ Econo Lodge $100.00 $ Lowe's $500.00 $ jcpenney $100.00 $ Econo Lodge $50.00 $ Macaroni Grill $25.00 $ jcpenney $25.00 $ Express $25.00 $ Macy's $100.00 $ Jiffy Lube $30.00 $ Express for Men $25.00 $ Macy's $25.00 $ Jo-Ann Fabric and Craft $ Exxon $250.00 $ Maggiano's Little Italy $ Stores $25.00 $25.00 Exxon $50.00 $ Journeys $25.00 $ Mainstay Suites $ $100.00 Fannie May Candies $ Journeys Kidz $25.00 $ $10.00 Marshalls $100.00 $ Kids Foot Locker $25.00 $ Finish Line $25.00 $ Marshalls $25.00 $ Kmart $25.00 $ Foot Locker $25.00 $ Men's Wearhouse $ Kmart $50.00 $ $25.00 GameStop $25.00 $ Kohl's $100.00 $ Michaels $25.00 $ Gap $100.00 $ Kohl's $25.00 $ Mobil $250.00 $ Gap $25.00 $ L.L.Bean $100.00 $ Mobil $50.00 $ Giant Food Stores $ $100.00 L.L.Bean $25.00 $ Motherhood Maternity $ $25.00 Giant Food Stores $ $25.00 Lady Foot Locker $ Neiman Marcus $50.00 $ $25.00 Giant Food Stores $ Nike $25.00 $ $50.00 Landry's Seafood $ $100.00 Giant Foods $100.00 $ Noodles & Company $ Landry's Seafood $ $10.00 $25.00 Giant Foods $25.00 $ NOOK by Barnes & $ Lands' End $100.00 $ Noble $10.00 Giant Foods $50.00 $ Lands' End $25.00 $ NOOK by Barnes & $ GNC $25.00 $ Noble $100.00 Make Checks Payable To: Rydal Elementary School Total Due All Columns: $ Family Order Form Created: 9/30/2015 12:20:42 PM Rydal Elementary School/Rydal, PA Orders will be collected on the following dates: Oct. 5, Nov. 2, Nov. 30, December 7, Jan.11, Feb. 8, March 7, Apr. 4, May 2, May 31 Name Customer # Check # Order Date Product QTY Total Product QTY Total Product QTY Total NOOK by Barnes & $ Red Lobster ® $25.00 $ Staples $100.00 $ Noble $25.00 Regal Entertainment $ Staples $25.00 $ Office Max $100.00 $ Group $25.00 Starbucks $10.00 $ Office Max $25.00 $ Restoration Hardware $ $100.00 Starbucks $25.00 $ Old Country Buffet $ $25.00 Restoration Hardware $ $25.00 Stein Mart $25.00 $ Old Navy $100.00 $ Rite Aid $25.00 $ Stop & Shop (NOT $ Old Navy $25.00 $ TOPS) $100.00 Ross Dress for Less $ $25.00 Stop & Shop (NOT $ Olive Garden ® $25.00 $ TOPS) $25.00 Royal Caribbean $ Omaha Steaks $25.00 $ $100.00 SUBWAY® Restaurants $ $10.00 Oriental Trading $ Ruby Tuesday $25.00 $ Company $25.00 SUBWAY® Restaurants $ Ruth's Chris Steak $ $50.00 Outback Steakhouse $ House $50.00 $25.00 Sunglass Hut $25.00 $ Safeway $100.00 $ Outback Steakhouse $ Sunoco $250.00 $ $50.00 Safeway $25.00 $ Sunoco $50.00 $ Overstock.com $25.00 $ Sally Beauty Supply $ T.J. Maxx $100.00 $ P.F. Chang's China $ $25.00 Bistro $25.00 Sam's Club $100.00 $ T.J. Maxx $25.00 $ Panera Bread $10.00 $ Sam's Club $25.00 $ T.J. $ Panera Bread $25.00 $ Maxx/Marshalls/HomeG Sam's Club $250.00 $ oods $100.00 Papa John's Pizza $ Sears $100.00 $ T.J. $ $10.00 Maxx/Marshalls/HomeG Pavilions $100.00 $ Sears $25.00 $ oods $25.00 Taco Bell $10.00 $ Pavilions $25.00 $ Sears $250.00 $ Talbots $25.00 $ Payless Shoes $20.00 $ Sears Auto Service $ Center $100.00 Tanger Outlets $25.00 $ Peapod Online Grocery $ $100.00 Sears Auto Service $ Center $25.00 Target $100.00 $ Peapod Online Grocery $ $25.00 Sears Auto Service $ Target $25.00 $ Center $250.00 Peebles $25.00 $ Sephora $20.00 $ Texas Roadhouse $ $25.00 Pei Wei Asian Diner $ $25.00 Shell $100.00 $ TGI Fridays $25.00 $ Pep Boys $20.00 $ Shell $25.00 $ The Home Depot $ $100.00 PetSmart $25.00 $ Shell $50.00 $ The Home Depot $ Pier 1 Imports $25.00 $ ShopRite $100.00 $ $1000.00 The Home Depot $ Pizza Hut (Not AK or HI) $ ShopRite $25.00 $ $25.00 $10.00 Shutterfly $25.00 $ The Home Depot $ Pottery Barn $100.00 $ $500.00 Sleep Inn $100.00 $ Pottery Barn $25.00 $ Toys"R"Us $100.00 $ Software Etc. $25.00 $ Pottery Barn Kids $ Toys"R"Us $20.00 $ $100.00 Sports Authority $ ULTA $25.00 $ Pottery Barn Kids $ $100.00 $25.00 Sports Authority $25.00 $ United Artist Theatres $ Quality Inn $100.00 $ $25.00 Make Checks Payable To: Rydal Elementary School Total Due All Columns: $ Family Order Form Created: 9/30/2015 12:20:42 PM Rydal Elementary School/Rydal, PA Orders will be collected on the following dates: Oct. 5, Nov. 2, Nov. 30, December 7, Jan.11, Feb. 8, March 7, Apr. 4, May 2, May 31 Name Customer # Check # Order Date Product QTY Total Walgreens $100.00 $ Walgreens $25.00 $ Walmart $100.00 $ Walmart $25.00 $ Walmart $250.00 $ Wawa $100.00 $ Wawa $25.00 $ Wendy's $10.00 $ White Barn Candle Co $ $10.00 White Barn Candle Co $ $25.00 Whole Foods Market $ $100.00 Whole Foods Market $ $25.00 Williams-Sonoma $ $100.00 Williams-Sonoma $ $25.00 Zappos.com $100.00 $ Zappos.com $25.00 $ Make Checks Payable To: Rydal Elementary School Total Due All Columns: $.