Family Order Form Created: 12/3/2019 8:32:43 AM Cushing Elementary HOMEROOM TEACHER: PHONE: EMAIL: Name Customer # Check # Order Date Clothing & Accessories Dining - Casual Dining - On The Go Product % QTY Total Product % QTY Total Product % QTY Total Aeropostale $25.00 10% $ Applebee's $25.00 8% $ Domino's $10.00 8% $ American Eagle® 10% $ Applebee's $50.00 8% $ Dunkin' Donuts $10.00 3% $ $25.00 Bonefish Grill $10.00 8% $ Great Harvest Bread 6% $ Athleta $100.00 14% $ $10.00 Bonefish Grill $25.00 8% $ Athleta $25.00 14% $ Panera Bread $10.00 8% $ Bonefish Grill $50.00 8% $ Banana Republic 14% $ Panera Bread $25.00 8% $ $25.00 Bravo Cucina Italiana 12% $ Panera Bread $5.00 8% $ Brooks Brothers $25.00 16% $ $25.00 Buffalo Wild Wings® 8% $ Papa John's Pizza 9% $ Carter's $25.00 10% $ $10.00 $10.00 DSW (Designer Shoe 8% $ Buffalo Wild Wings® 8% $ Papa Murphy's Pizza 8% $ Warehouse) $25.00 $25.00 $10.00 Express $25.00 10% $ California Pizza Kitchen 8% $ Pizza Hut (Not AK or HI) 8% $ $25.00 $10.00 Gap $25.00 14% $ Cheesecake Factory 5% $ Potbelly Sandwich Shop 8% $ Gap Factory $25.00 14% $ $25.00 $10.00 Chili's Grill & Bar $25.00 11% $ Qdoba Mexican Grill 7% $ HomeGoods $100.00 7% $ $25.00 Fleming's Prime 8% $ HomeGoods $25.00 7% $ Steakhouse $25.00 Starbucks $10.00 7% $ J. Crew $25.00 13% $ Maggiano's Little Italy 11% $ Starbucks $25.00 7% $ $25.00 Starbucks $5.00 7% $ L.L.Bean $25.00 16% $ Maggiano's Little Italy 11% $ $50.00 Lands' End $25.00 15% $ Subway Restaurants 6% $ Noodles & Company 8% $ $10.00 Marshalls $25.00 7% $ $10.00 Taco Bell $10.00 5% $ Olive Garden $10.00 8% $ Old Navy $25.00 14% $ Discount Store Olive Garden $25.00 8% $ Sierra Trading Post 7% $ Product % QTY Total $25.00 Outback Steakhouse 8% $ Fleet Farm $25.00 3.5% $ T.J. Maxx $25.00 7% $ $10.00 T.J. 7% $ Outback Steakhouse 8% $ Kmart $25.00 4% $ Maxx/Marshalls/HomeG $25.00 Sam's Club $10.00 2.5% $ oods/Sierra Trading Red Lobster $10.00 8% $ Post $25.00 Sam's Club $25.00 2.5% $ Department Store Red Lobster $25.00 8% $ Target $10.00 2.5% $ Product % QTY Total Red Robin $25.00 8% $ Target $100.00 2.5% $ Bloomingdale's $25.00 12% $ Texas Roadhouse 8% $ $25.00 Target $25.00 2.5% $ JCPenney $25.00 5% $ TGI Fridays $25.00 9% $ Target $50.00 2.5% $ Kohl's $25.00 4% $ Dining - Fine Walmart $10.00 2.5% $ Macy's $25.00 10% $ Product % QTY Total Walmart $25.00 2.5% $ Nordstrom $100.00 4% $ Lettuce Entertain You 12% $ Restaurants $25.00 Walmart $50.00 2.5% $ Nordstrom $25.00 4% $ Dining - On The Go Electronics & Office Nordstrom Rack $25.00 4% $ Product % QTY Total Product % QTY Total Dining - Casual Chipotle Mexican Grill 10% $ Best Buy $25.00 4% $ Product % QTY Total $10.00 Chipotle Mexican Grill 10% $ GameStop $25.00 3% $ Applebee's $10.00 8% $ $25.00 Make Checks Payable To: Cushing PTO Total Due All Columns: $ Family Order Form Created: 12/3/2019 8:32:43 AM Cushing Elementary HOMEROOM TEACHER: PHONE: EMAIL: Name Customer # Check # Order Date Electronics & Office Health & Beauty Online & Catalog Product % QTY Total Product % QTY Total Product % QTY Total Geek Squad & Best Buy 4% $ Bath & Body Works 12% $ Apple iTunes $15.00 5% $ $25.00 $10.00 Apple iTunes $25.00 5% $ Entertainment Bath & Body Works 12% $ $25.00 Groupon.com $25.00 7% $ Product % QTY Total CVS Pharmacy $10.00 6% $ Barnes & Noble $10.00 8% $ Harry & David $50.00 12% $ CVS Pharmacy $25.00 6% $ Barnes & Noble $25.00 8% $ iTunes $15.00 5% $ Sephora $25.00 5% $ Barnes & Noble $5.00 8% $ iTunes $25.00 5% $ ULTA $25.00 4% $ Cafe at The Pfister in 8% $ Nike $25.00 12% $ Milwaukee $100.00 Walgreens $25.00 5% $ Zappos.com $25.00 8% $ Cafe at The Pfister in 8% $ Home Decor Milwaukee $25.00 Specialty Retailer Product % QTY Total Dave & Buster's $25.00 13% $ Product % QTY Total Bed Bath & Beyond 7% $ Grand Geneva Resort 8% $ $25.00 American Girl $25.00 9% $ $25.00 Cost Plus World Market 7% $ Marcus Theatres $25.00 8% $ Build-A-Bear Workshop 8% $ $25.00 $25.00 Milwaukee ChopHouse 8% $ Crate and Barrel $25.00 8% $ Container Store $25.00 9% $ $25.00 Pier 1 Imports $25.00 9% $ Pfister Hotel $100.00 8% $ Jo-Ann Fabric and Craft 6% $ Stores $25.00 Pottery Barn $25.00 8% $ Gas & Auto Michaels $25.00 4% $ Williams Sonoma 8% $ Product % QTY Total $25.00 PetSmart $25.00 5% $ Kwik Trip $25.00 4% $ Home Improvement Total Wine & More 7% $ $100.00 Kwik Trip $50.00 4% $ Product % QTY Total Total Wine & More 7% $ Shell $25.00 1.5% $ Ace Hardware $100.00 4% $ $25.00 Grocery Ace Hardware $25.00 4% $ Sporting Goods Product % QTY Total Home Depot $10.00 4% $ Product % QTY Total Bass Pro Shops $25.00 10% $ Copps (WI only) $25.00 4% $ Home Depot $25.00 4% $ Cabela's $25.00 10% $ Meijer (not AK and HI) 3% $ Lowe's $20.00 4% $ $10.00 Dick's Sporting Goods 8% $ Meijer (not AK and HI) 3% $ Lowe's $25.00 4% $ $25.00 $25.00 Menards $25.00 3% $ Dunham's Sports 8% $ Meijer (not AK and HI) 3% $ $25.00 $50.00 The Home Depot 4% $ $10.00 REI $25.00 8% $ Metro Market (WI only) 4% $ $25.00 The Home Depot 4% $ Universal Prepaid Cards $25.00 Pick 'n Save (WI only) 4% $ Product % QTY Total $25.00 Online & Catalog Discover Universal Gift 1.25% $ Piggly Wiggly (WI, IL 3% $ Product % QTY Total only) $25.00 Card $100.00 Roundys (IL and WI 4% $ Amazon.com $10.00 2.25% $ Discover Universal Gift 1.25% $ only) $25.00 Card $50.00 Amazon.com $100.00 2.25% $ Roundys (IL and WI 4% $ Visa Five Back Gift 1.25% $ only) $50.00 Amazon.com $25.00 2.25% $ Card $100.00 Sendik's Food Market 4% $ Visa Five Back Gift 1.25% $ Apple App Store & 5% $ Card $50.00 $25.00 iTunes $15.00 Sendik's Food Market 4% $ Apple App Store & 5% $ $50.00 iTunes $25.00 Make Checks Payable To: Cushing PTO Total Due All Columns: $.