Scheduled Order Form Created: 11/4/2014 1:08:46 PM Name Customer # Check # Order Date Rebate Qty Ext Price Rebate Qty Ext Price Rebate Qty Ext Price 1-800-Flowers $25 12.00 % Bath & Body Works 13.00 % Burlington Coat 8.00 % $25 Factory $25 76 Gas $100 1.50 % bd's Mongolian Grill 8.00 % Cabela's $25 11.00 % 76 Gas $25 1.50 % $20 Cabela's $100 11.00 % 99 Restaurants $25 13.00 % Bed Bath & Beyond 7.00 % $25 California Pizza 8.00 % A&P/Pathmark $25 4.00 % Kitchen $10 Bed Bath & Beyond 7.00 % A&P/Pathmark $100 4.00 % $100 Caribou Coffee $10 6.00 % Ace Hardware $25 4.00 % BedandBreakfast.com 10.00 % Carl's Jr. $10 5.00 % $50 Ace Hardware $100 4.00 % Carnival Cruise $100 8.00 % Belk $100 10.00 % adidas $25 13.00 % Carrows $10 8.00 % Belk $25 10.00 % Advance Auto Parts 7.00 % Cascading Card File 25.00 % $25 Bertucci¶s $25 10.00 % $3 Aeropostale $25 7.00 % Best Buy $25 3.00 % Casey's $10 3.00 % Albertsons/Jewel $25 4.00 % BEST BUY $100 3.00 % Casey's $25 3.00 % Albertsons/Jewel $100 4.00 % Best Buy $250 3.00 % Casey's $50 3.00 % Amazon.com $25 3.00 % Best Western 12.00 % Celebration/Loeks 4.00 % Cinema $10 Amazon.com $100 3.00 % International $100 Best Western 12.00 % Celebrity Cruise Lines 9.00 % AMC Theatres/Loews 8.00 % International $25 $100 Cineplex $25 Big 5 Sporting Goods 8.00 % Cenex $100 3.00 % AMC Theatres/Loews 10.00 % $25 Cineplex Single Ticket Cenex $25 3.00 % $9.50 Black Angus/Cattle Co 12.00 % $25 Cheesecake Factory 5.00 % American Eagle 10.00 % $25 Outfitters $25 Bloomingdale's $25 12.00 % Chevron $50 1.00 % American Girl $100 9.00 % Bloomingdale's $100 12.00 % Chevron $100 1.00 % American Girl $25 9.00 % Bob Evans $10 10.00 % Chevron $250 1.00 % Andersons $25 4.00 % Body Shop $25 8.00 % Chili's $25 11.00 % Andersons $100 4.00 % Bon-Ton $25 8.00 % Chili's $50 11.00 % Applebee's $25 8.00 % Bon-Ton $100 8.00 % Chipotle Mexican Grill 10.00 % Applebee's $50 8.00 % Boscov's $25 8.00 % $10 Arby's $10 8.00 % Boston Market $10 12.00 % Chuck E. Cheese $10 8.00 % ARCO $50 1.50 % BP Gas Stations $50 1.50 % Cinemark Theatres 4.00 % $25 ARCO $100 1.50 % BP Gas Stations $100 1.50 % Cinemark Theatres 10.00 % ARCO $250 2.50 % BP Gas Stations $250 2.50 % Single Ticket $9.50 AT&T 125 Prepaid 20.00 % Bravo $25 12.00 % Circle K $100 1.50 % Phone Card $9.50 Brooks Brothers $25 16.00 % Circle K $25 1.50 % AutoZone $25 8.00 % Brueggers Bagels $10 7.00 % Claire's $10 9.00 % Avis Car Rental $50 8.00 % Bruster's Ice Cream 8.00 % Coco's $10 8.00 % Baja Fresh $25 7.00 % $10 Coffee Bean & Tea 9.00 % Barnes & Noble $10 9.00 % Buca di Beppo $25 8.00 % Leaf $25 Barnes & Noble $25 9.00 % Buckle $25 8.00 % Cold Stone Creamery 8.00 % $10 Barnes & Noble $100 9.00 % Budget Car Rental $50 8.00 % Comfort Inn (Clarion, 3.00 % Bass Pro Shops $25 9.00 % Buffalo Wild Wings $10 8.00 % Quality, Sleep Inn) Bass Pro Shops $100 9.00 % Buffalo Wild Wings $25 8.00 % $100 Comfort Inn (Clarion, 3.00 % Bath & Body Works 13.00 % Build-A-Bear 8.00 % Quality, Sleep Inn) $10 Workshop $25 $50 Burger King $10 4.00 % Make Checks Payable To: Total Due All Columns: $ Scheduled Order Form Created: 11/4/2014 1:08:46 PM Name Customer # Check # Order Date Rebate Qty Ext Price Rebate Qty Ext Price Rebate Qty Ext Price Cool Cuts 4 Kids $25 8.00 % Express Convenience 9.00 % Hard Rock Café $25 10.00 % Centers $25 Cousins Subs $10 9.00 % Hardee's $10 5.00 % Exxon/Mobil $50 1.00 % Cracker Barrel $10 9.00 % Harry and David $25 10.00 % Exxon/Mobil $250 1.00 % Cracker Barrel $25 9.00 % HEB/Central Market 2.00 % Fairmont Hotels $100 9.00 % $25 Crate & Barrel $25 8.00 % Family Christian Stores 9.00 % HEB/Central Market 2.00 % Crate & Barrel $100 8.00 % $25 $100 Crazy 8 $25 13.00 % Family Express $100 4.00 % Holiday Stationstores 4.00 % $25 CVS/pharmacy $25 6.00 % Family Express $25 4.00 % Holiday Stationstores 4.00 % CVS/pharmacy $100 6.00 % Family 2.00 % $100 Fare/D&W/Glen's $25 D'Angelo Grilled 10.00 % Honey Baked Ham $25 12.00 % Sandwiches/Papa Family 2.00 % Gino's $10 Fare/D&W/Glen's $100 Hyatt Hotels $50 10.00 % Dave & Buster's $25 13.00 % Family Video $10 12.00 % Hyatt Hotels $100 10.00 % Del Taco $10 4.00 % Fannie May $10 25.00 % IHOP $25 8.00 % Dell Computer $100 4.00 % Farm and Fleet 5.00 % Islands $25 8.00 % Dennis Uniform $20 5.00 % Fazoli's $25 7.00 % iTunes $15 5.00 % Denny's $10 7.00 % Finish Line $25 10.00 % iTunes $25 5.00 % Destination XL $25 9.00 % Foot Locker $25 9.00 % J. Crew $25 13.00 % Dick's Sporting Goods 8.00 % GameStop $25 3.00 % Jack in the Box $10 4.00 % $25 Gander Mountain $25 8.00 % Jamba Juice $10 7.00 % Dick's Sporting Goods 8.00 % $100 Gap/Banana 14.00 % jcpenney $25 5.00 % Republic/Old Navy Dillard's $25 9.00 % Options $25 jcpenney $100 5.00 % Dillard's $100 9.00 % Gap/Banana 14.00 % Jiffy Lube $30 8.00 % Republic/Old Navy Disney $25 2.00 % Jo Ann Fabrics $25 6.00 % Options $100 Journeys $25 13.00 % Disney $100 2.00 % Giant Eagle $25 4.00 % KFC $5 8.00 % Disney $1,000 2.00 % Giant Eagle $100 4.00 % Kmart $25 4.00 % Disney Music $15 2.00 % GNC $25 8.00 % Kmart $50 4.00 % Domino's $10 8.00 % Golfsmith $25 8.00 % Kohl's $25 4.00 % Donatos Pizza $10 10.00 % Goodrich Theaters $10 4.00 % Kohl's $100 4.00 % Dressbarn $25 8.00 % Gordmans $25 7.00 % Kwik Trip $25 9.00 % Dunham's Sports $25 8.00 % Gordon Foods Service 4.00 % Dunkin' Donuts $10 3.00 % Marketplace $25 Kwik Trip $100 9.00 % Dunn Bros. Coffee $10 8.00 % Gordon Foods Service 4.00 % Kwik Trip $50 9.00 % Marketplace $100 L.L.Bean $25 16.00 % Eat'n Park $10 10.00 % Great Clips $25 8.00 % L.L.Bean $100 16.00 % Eat'n Park $25 10.00 % Great Harvest Bread 6.00 % Eddie Bauer $25 10.00 % $10 Landry's Restaurants 9.00 % $25 Einstein Bros. Bagels 10.00 % Groupon.com $25 7.00 % $10 Landry's Restaurants 9.00 % Guitar Center $25 4.00 % $100 El Pollo Loco $10 6.00 % Gulf Oil $25 1.50 % Lands' End $25 16.00 % El Torito / Acapulco 8.00 % Gymboree $25 13.00 % $25 Lands' End $100 16.00 % Express $25 10.00 % Hallmark $25 4.00 % Lane Bryant $25 8.00 % Express Convenience 9.00 % Happy Joes $10 15.00 % Legal Sea Foods $25 13.00 % Centers $100 Happy Joes $25 15.00 % Lettuce Entertain You 12.00 % Restaurants $25 Make Checks Payable To: Total Due All Columns: $ Scheduled Order Form Created: 11/4/2014 1:08:46 PM Name Customer # Check # Order Date Rebate Qty Ext Price Rebate Qty Ext Price Rebate Qty Ext Price Limited $25 9.00 % Olga's Kitchen $20 8.00 % REI $25 8.00 % Little Caesars $20 8.00 % Omaha Steaks $25 11.00 % Restaurant.com $50 65.00 % Value Card (Cost $20) Logan's Roadhouse 10.00 % ONtheGO Travel Card 4.00 % $25 powered by ORBITZ Restoration Hardware 12.00 % $25 Long John Silver's $10 8.00 % $50 ONtheGO Travel Card 4.00 % Restoration Hardware 12.00 % Lord & Taylor $25 8.00 % powered by ORBITZ $100 Lou Malnati's $10 8.00 % $250 Rite Aid $25 4.00 % Lowe's $25 4.00 % Oriental Trading 9.00 % Rock Bottom/Old 6.00 % Company $25 Chicago $25 Lowe's $100 4.00 % Outback $25 8.00 % Rocky Mountain 11.00 % Lowe's $500 4.00 % Overstock.com $25 8.00 % Chocolate Factory $10 Lowe's $1,000 4.00 % P.F. Chang's $25 8.00 % Ross Dress for Less 8.00 % Lowe's $20 "Teacher" 4.00 % $25 Panera Bread $10 9.00 % Card Roundys $25 (IL and 4.00 % Macy's $25 10.00 % Panera Bread $25 9.00 % WI only) Papa John's Pizza $10 8.00 % Roundys $50 (IL and 4.00 % Macy's $100 10.00 % WI only) Marathon $25 3.00 % Papa Murphy's Pizza 8.00 % $10 Roundys $100 (IL and 4.00 % Marathon $100 3.00 % WI only) Pappas $25 6.00 % Royal Caribbean $100 9.00 % Marathon $250 4.00 % Paradise Bakery $10 9.00 % Ruby Tuesday's $25 8.00 % Marcus 9.00 % Payless Shoes $20 13.00 % Theatres/Resort $25 Ruth's Chris $50 10.00 % Peet's Coffee & Tea 8.00 % Marcus 9.00 % Safeway $25 4.00 % Theatres/Resort $100 $20 Safeway $100 4.00 % Maurices $20 7.00 % Pep Boys $20 4.00 % Sally Beauty $25 12.00 % MC Sports $25 8.00 % PetSmart $25 4.00 % Pier 1 $25 9.00 % Sam Harris Uniforms 10.00 % Meijer $25 4.00 % $100 Piggly Wiggly $25 3.00 % Meijer $50 4.00 % Sam Harris Uniforms 10.00 % Meijer $100 4.00 % Piggly Wiggly $50 3.00 % $25 Sam Harris Uniforms 10.00 % Menards $25 3.00 % Piggly Wiggly $100 3.00 % $50 Pinkberry $10 5.00 % Menards $100 3.00 % Sears $25 4.00 % Pizza Hut $10 8.00 % Men's Wearhouse $25 8.00 % Sears $100 4.00 % Michaels $25 4.00 % Pottery Barn / 8.00 % Williams-Sonoma $25 Sears $250 4.00 % Mimi's Cafe $25 8.00 % Pottery Barn / 8.00 % See's Candies $25 9.00 % Williams-Sonoma $100 Motherhood $25 8.00 % Sentry $10 3.00 % Qdoba $25 7.00 % Neiman Marcus $50 12.00 % Sentry $50 3.00 % Nike $25 12.00 % Quick Chek $25 (NJ 2.00 % and NY only) Sephora $20 5.00 % Noodles & Company 8.00 % Sheetz $25 4.00 % $10 Raley's $25 4.00 % Sheetz $100 4.00 % Nutrisystem $50 12.00 % Raley's $100 4.00 % Sheldon Cleaners $5 9.00 % O'Charley's $25 13.00 % Red Lobster/Olive 9.00 % Garden $25 Shell $25 2.50 % Office Depot $25 4.00 % Red Robin $25 11.00 % Shell $50 2.50 % Office Depot $100 4.00 % Regal Premiere Single 10.00 % Shell $100 2.50 % Office Max $25 5.00 % Ticket $9.50 Shoe Carnival $25 5.00 % Office Max $100 5.00 % Regal/United 8.00 % Artist/Edwards Shopko $25 3.00 % Old Country 5.00 % Theatres $25 Buffet/Ryan's $25 Shopko $50 3.00 % Regis Salons $25 8.00 % Make Checks Payable To: Total Due All Columns: $ Scheduled Order Form Created: 11/4/2014 1:08:46 PM Name Customer # Check # Order Date Rebate Qty Ext Price Rebate Qty Ext Price Rebate Qty Ext Price ShopRite $25 4.00 % SuperAmerica $100 4.00 % Wawa $100 1.50 % ShopRite $100 4.00 % Supercuts $25 8.00 % Weis Markets $100 5.00 % Shutterfly $25 9.00 % SweetTomatoes / 8.00 % Weis Markets $25 5.00 % Souplantation $25 Sinclair $25 1.50 % Wendy's $10 4.00 % T.J.