Name ________________________________________ Date ____________

Phone _____________________ Check #____________ Amount _________
Scrip order turn in dates are: Sept 9 & 22, Oct 6 & 20, Nov 3 & 17, Dec 8

PLEASE MAKE CHECKS PAYABLE TO DMS PTO.

Vendor Name	Profit %	SCRIP $	Quan	Total	Vendor Name	Profit %	SCRIP $	Quan	Total
Clothing Stores
American Eagle	8.0	$25
Casual Male Big & Tall	6.0	$25
Dress Barn	8.0	$25
Eddie Bauer	14.0	$25
Express	13.0	$25
Fashion Bug/Lane Bryant	6.0	$25
Gymboree	13.0	$25
J. Crew	13.0	$25
J. Jill	8.0	$25
L.L. Bean	15.0	$25
Land's End	9.0	$25
Maurices	7.0	$20			Specialty Stores
Men's Wearhouse	7.0	$25			1-800-FLOWERS	8.0	$25
Old Navy/Gap/Banana Rep	9.0	$25			Ace Hardware	4.0	$25
Talbot's	8.0	$25				4.0	$100
The Children's Place	12.0	$25			Amazon.com	4.0	$25
Department Stores					Barnes & Noble/B. Dalton	9.0	$10
Bergners	8.0	$25				9.0	$25
	8.0	$100			Bass Pro Shops	9.0	$25
Macy's	10.0	$25			Bath & Body Works	18.0	$10
Gordmans	7.0	$25				18.0	$25
Gymboree	13.0	$25			Bed Bath & Beyond	7.0	$25
JC Penney	6.0	$25			Best Buy	2.0	$25
K-Mart	4.0	$25			Blockbuster	7.0	$10
Kohl's	4.8	$25			Blockbuster Video Rental	15.0	$3.79
Sears	4.0	$25			Borders/ Waldenbooks	10.0	$10
TJ Maxx/Marshall's	7.0	$25				10.0	$25
					Cabela's	11.0	$25
Gas Stations					Circuit City	4.0	$25
BP Gas	2.0	$50			Claire's	9.0	$10
Marathon	3.0	$100			Crate & Barrel	8.0	$25
Mobil/Exxon	1.5	$50			CVS	2.0	$25
Shell	1.5	$25			Dick's Sporting Goods	8.0	$25
Grocery Stores					Disney Store	2.0	$25
Cub Foods	2.0	$25			Dunham's Sports	8.0	$25
Gordon Food Service	4.0	$25			Fannie May	25.0	$10
Jewel	4.0	$25
Kroger	5.0	$10			GameStop/EB Games	3.0	$25
	5.0	$25			Gander Mountain	8.0	$25
	5.0	$50
Restaurants
Applebee's	8.0	$25			Home Depot	3.0	$25
Arby's	10.0	$10			iTunes	4.0	$15
Auntie Anne's Pretzels	8.0	$10			JoAnn Fabrics	6.0	$20
Baskin Robbins	9.0	$2			Kay Jewelers	12.0	$25
Bob Evans	10.0	$10
Buffalo Wild Wings	10.0	$25			Lowe's	4.0	$25
Burger King	4.0	$10			Menard's	3.0	$25
Carlos O'Kelly's	9.0	$10			Michael's	4.0	$25
Cheesecake Factory	5.0	$25			Office Max	5.0	$25
Chevy's Mexican Rest.	8.0	$25			Omaha Steaks	9.0	$25
Chili's	11.0	$25			Payless Shoesource	13.0	$20
Chuck E Cheese	8.0	$10			PetsMart	4.0	$25
Cold Stone Cremery	8.0	$10			Pier 1	9.0	$25
Cracker Barrel	9.0	$10			Pottery Barn/Williams Sono	8.0	$25
Culver's	10.0	$10			Radio Shack	4.0	$25
Denny's	9.0	$10			Regis Hair Salon	8.0	$25
Dunkin' Donuts	4.0	$10			Rocky Mountain Choc.	11.0	$10
Great Harvest Bread	8.0	$10			Sally Beauty Supply	12.0	$25
Hard Rock Cafe	8.0	$25			Sam's Club/Walmart	2.0	$25
Joe's Crab Shack	9.0	$25				2.0	$100
KFC	9.0	$5			Shutterfly.com	14.0	$25
Longhorn Steakhouse	11.0	$25			Staples	5.0	$25
Monical's	5.0	$10			Ticketmaster	4.0	$25
Old Chicago	6.0	$25			Total Access 675 min Phone	17.0	$20
Old Country Buffet	5.0	$25			Toys R Us	3.0	$20
Olive Garden/Red Lobster	9.0	$25			Walgreens	2.0	$25
Panera Bread Co.	9.0	$10			Willow Knolls 14 (Goodrich)	4.0	$10
Papa Johns	6.0	$10			Travel Options
Pizza Hut	9.0	$10			American Airlines	16.0	$100
Pizzeria Uno Chicago Bar	17.0	$25			American Airlines	16.0	$250
Little Caesar's Pizza	9.0	$20			Avis Rent-A-Car	8.0	$50
Ruby Tuesday's	8.0	$25			Bed & Breakfast.com	10.0	$50
Starbuck's	7.0	$10			Budget Car Rental	8.0	$50
Starbuck's	7.0	$25			Carnival Cruises	8.0	$100
Subway	3.0	$10			Worldwide Hotels
Texas Roadhouse	8.0	$25			Comfort Inn	4.0	$25
TGI Fridays	8.0	$25			Hyatt	9.0	$25
Wendy's	9.0	$10			Marriott	12.0	$50
						12.0	$100
					TOTAL

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