Customer Information	Name						CC #							Date
Through School	Student	Name				Room #	Exp.			Address				Zip
							Signature
Always in Stock !						Always in Stock !							Always in Stock !
Store	Profit	Value	#	Pmt.	R	Store	Profit	Value	#	Pmt.	R		Store	Profit	Value	#	Pmt.	R
Applebee’s	8%	$25				JC Penney	5%	$25					Starbucks	7%	$10
Arby’s	8%	$10				JC Penney	5%	$100					Starbucks	7%	$25
Auntie Anne’s	8%	$10				Joe’s Crab Shack	12%	$25					Subway	3%	$10
Barnes & Noble	9%	$10				Johnny’s Toys	10%	$20					Supreme Nut & Candy	10%	$5
Barnes & Noble	9%	$25				KFC	9%	$5					Texas Roadhouse	8%	$25
Bass Pro Shop	7%	$25				Kohl’s (use on acct)	5%	$25					Wendy's	4%	$10
Bath & Body Works	18%	$10				Kohl’s (use on acct)	5%	$50
Bath & Body Works	18%	$25				Kohl’s (use on acct)	5%	$100					Some Special Orders
Bed, Bath & Beyond	7%	$25				Kroger’s Rechargeable	4%	$1					See www.glscrip.com
Bigg's	6%	$50				Kroger’s Rechargeable	4%	$10					for comlete list
Bigg's	6%	$100				Long John Silvers	9%	$5
Bob Evans	10%	$10				Longhorn Steakhouse	11%	$25					Buca di Beppo	8%	$25
Borders	9%	$10				Lowe’s	4%	$25					Footlocker	9%	$25
Borders	9%	$25				Macy’s	10%	$25					Home Depot	3%	$500
Buffalo Wild Wings	10%	$10				Mattfeld's Greenhouse & Florist	10%	$10					Lillian Vernon	21%	$20
Burger King	4%	$10				Max & Erma's	13%	$20					Linens n’ Things	8%	$25
Cheesecake Factory	5%	$25				Northgate Greenhouse	5%	$10					Marriott Hotels	12%	$50
Chipotle	10%	$10				O’Charley’s	13%	$25					Men’s Warehouse	8%	$25
Chuck E Cheese	8%	$10				Old Navy/Gap/Banana Republic	9%	$25					Office Max	5%	$25
Cracker Barrel	9%	$10				Olive Garden/Red Lobster/							Shoe Carnival	5%	$25
Dicks Sporting Goods	5%	$25				Bahama Breeze/ Smokey Bones	9%	$25					Speedway	5%	$100
Dillards	9%	$25				Outback Steakhouse	4%	$25					William Sonoma/Pottery
Domino’s Pizza	5%	$5				Panara Bread	9%	$10					Barm	8%	$100
Donato’s Pizza	10%	$10				Payless	13%	$20
Express	13%	$25				Pizza Hut	9%	$10
Finish Line	10%	$25				Red Squirrel	5%	$5
Frisch’s	5%	$10				Ruby Tuesday's	8%	$25
Gerth Meats	10%	$10				Skyline Chili	5%	$10
GFS (Gordon Food Serv)	4%	$25				Speedway	5%	$10
Home Depot	3%	$25				Speedway	5%	$25
Home Depot	3%	$100				Speedway	5%	$50					Total for this Column			$
Honey Baked Ham	12%	$10				Staples	8%	$25					Total of 1st Column			$
													Totoal of 2nd Column			$
Total for this column:			$			Total for this column:			$				Grand Total all columns:	cash	ck #	$