Name ________________________________________ Date ____________

Phone _____________________ Check #____________ Amount _________
Scrip order turn in dates are: May 5 & 19.

PLEASE MAKE CHECKS PAYABLE TO DMS PTO.

Vendor Name	Profit %	SCRIP $	Quan	Total	Vendor Name	Profit %	SCRIP $	Quan	Total
Clothing Stores					Restaurants - continued
American Eagle	8.0	$25
Casual Male Big & Tall	6.0	$25
Dress Barn	8.0	$25			Ruby Tuesday's	8.0	$25
Eddie Bauer	14.0	$25			Starbuck's	7.0	$10
Express	13.0	$25			Starbuck's	7.0	$25
Fashion Bug/Lane Bryant	6.0	$25			Subway	3.0	$10
Gap	9.0	$25			Sushi Gawa	15.0	$25
L.L. Bean	15.0	$25			TCBY	10.0	$5
Land's End	9.0	$25			Texas Roadhouse	8.0	$25
Maurices	7.0	$20			TGI Fridays	8.0	$25
Men's Wearhouse	7.0	$25			Wendy's	9.0	$10
Old Navy/Gap/Banana Rep	9.0	$25			Specialty Stores
Steve & Barry's	6.0	$25			1-800-FLOWERS	8.0	$25
Talbot's	8.0	$25			Amazon.com	4.0	$25
The Children's Place	12.0	$25			Barnes & Noble/B. Dalton	9.0	$10
Department Stores						9.0	$25
Bergners	8.0	$25			Bass Pro Shops	9.0	$25
	8.0	$100			Bath & Body Works	18.0	$10
Famous-Barr	4.0	$25				18.0	$25
Gordmans	7.0	$25			Bed Bath & Beyond	7.0	$25
Gymboree	13.0	$25			Best Buy	2.0	$25
JC Penney	6.0	$25			Blockbuster	7.0	$10
K-Mart	2.0	$25			Blockbuster Video Rental	15.0	$3.79
Kohl's	4.8	$25			Borders/ Waldenbooks	10.0	$10
Sears	4.0	$25				10.0	$25
TJ Maxx/Marshall's	7.0	$25			Cabela's	11.0	$25
					Circuit City	4.0	$25
Gas Stations					Claire's	9.0	$10
BP Gas	2.0	$50			Crate & Barrel	8.0	$25
Marathon	3.0	$100			CVS	2.0	$25
Mobil/Exxon	1.5	$50			Dick's Sporting Goods	8.0	$25
Shell	1.5	$25			Disney Store	2.0	$25
Grocery Stores					Dunham's Sports	8.0	$25
Cub Foods	2.0	$25			Fannie May	25.0	$10
Gordon Food Service	4.0	$25			Finish Line	10.0	$25
Jewel	4.0	$25			Footlocker	9.0	$25
Kroger	5.0	$10			GameStop/EB Games	3.0	$25
	5.0	$25			Gander Mountain	8.0	$25
	5.0	$50			GNC	8.0	$25
					Hickory Farms	15.0	$10
Restaurants					Home Depot	3.0	$25
					iTunes	4.0	$15
Applebee's	8.0	$25			JoAnn Fabrics	6.0	$20
Arby's	10.0	$10			Kay Jewelers	12.0	$25
Auntie Anne's Pretzels	8.0	$10			Lillian Vernon	21.0	$20
Baskin Robbins	9.0	$2
Bennigan's	15.0	$25			Lowe's	4.0	$25
Bob Evans	10.0	$10			Menard's	3.0	$25
Buffalo Wild Wings	10.0	$25			Michael's	4.0	$25
Burger King	4.0	$10			Office Max	5.0	$25
Carlos O'Kelly's	9.0	$10			Omaha Steaks	9.0	$25
Cheesecake Factory	5.0	$25			Payless Shoesource	13.0	$20
Chevy's Mexican Rest.	8.0	$25			Pier 1	9.0	$25
Chili's	11.0	$25			Pottery Barn	8.0	$25
Chuck E Cheese	8.0	$10			Radio Shack	4.0	$25
Cold Stone Cremery	8.0	$10			Regis Hair Salon	8.0	$25
Cracker Barrel	9.0	$10			Rocky Mountain Choc.	11.0	$10
					Sally Beauty Supply	12.0	$25
					Sam's Club/Walmart	2.0	$25
Culver's	10.0	$10				2.0	$100
Denny's	9.0	$10			Sharper Image	16.0	$50
Domino Pizza	5.0	$5			Shoe Carnival	5.0	$25
Dunkin' Donuts	4.0	$10			Shutterfly.com	14.0	$25
Fazoli's	7.0	$25			Sunglass Hut/Watch Station	10.0	$25
Great Harvest Bread	8.0	$10			Ticketmaster	4.0	$25
Hard Rock Cafe	8.0	$25			Toys R Us	3.0	$20
Joe's Crab Shack	9.0	$25			Walgreens	2.0	$20
KFC	9.0	$5			Willow Knolls 14 (Goodrich)	4.0	$10
Long John Silvers	9.0	$5			Travel Options
Longhorn Steakhouse	11.0	$25			American Airlines	16.0	$100
Monical's	5.0	$10			American Airlines	16.0	$250
Mrs. Field's Cookies	10.0	$5			Avis Rent-A-Car	8.0	$50
Old Chicago	6.0	$25			Bed & Breakfast.com	10.0	$50
Old Country Buffet	5.0	$25			Budget Car Rental	8.0	$50
Olive Garden/Red Lobster	9.0	$25			Carnival Cruises	8.0	$100
Panera Bread Co.	9.0	$10			Worldwide Hotels
Papa Johns	6.0	$10			Comfort Inn	4.0	$25
Pizza Hut	9.0	$10			Hyatt	9.0	$25
Pizzeria Uno Chicago Bar	17.0	$25			Marriott	12.0	$50
						12.0	$100
					TOTAL

Questions can be directed to Krista Hoerr at 243-2378 or 360-0618.