SCRIP_OrderSheet
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PRINT NAME HERE PLEASE:
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MerchantCard ValuePercent DonatedQty. OrderedExtended Cost
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Ace Hardware$25.004%$0.00
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Amazon.com$25.004%$0.00
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AMC Theatres$9.507%$0.00
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Applebee's$25.008%$0.00
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Barnes & Noble Booksellers$25.009%$0.00
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Bath & Body Works$25.0013%$0.00
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Bed Bath & Beyond$25.007%$0.00
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Best Buy$25.003%$0.00
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Boston Store$25.008%$0.00
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BP Gas$50.002%$0.00
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Bruegger's Bagels$10.007%$0.00
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Buca Di Beppo$25.008%$0.00
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Burger King$10.004%$0.00
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Burlington Coat Factory$25.008%$0.00
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Cheesecake Factory$25.005%$0.00
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Chili's / Maggiano's Little Italy$25.0011%$0.00
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Chipotle$10.0010%$0.00
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Cousin's Subs$10.009%$0.00
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Cracker Barrel$10.009%$0.00
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Crate and Barrel$25.008%$0.00
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CVS/pharmacy$25.006%$0.00
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Denny's$10.007%$0.00
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Domino's Pizza$10.008%$0.00
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Eddie Bauer$25.0010%$0.00
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Einstein Bros. Bagels$10.0010%$0.00
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Family Christian Stores$25.009%$0.00
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Foot Locker$25.009%$0.00
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Game Stop$25.003%$0.00
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Gander Mountain$25.008%$0.00
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Gap$25.0014%$0.00
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Groupon.com$25.007%$0.00
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Hallmark$25.004%$0.00
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Harry & David$25.0010%$0.00
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Holiday Gift Card Holders$2.0010%$0.00
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Home Depot$25.005%$0.00
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Honey Baked Ham$10.0012%$0.00
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IHOP Pancake House$25.008%$0.00
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iTunes®$15.005%$0.00
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iTunes®$25.005%$0.00
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JCPenney$25.005%$0.00
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Jewel-Osco$25.004%$0.00
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Jo-Ann Fabrics$20.006%$0.00
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Kmart$25.004%$0.00
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Kohl's Department Store$25.004%$0.00
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Kwik Trip$25.009%$0.00
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L.L. Bean$25.0015%$0.00
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Lands' End$25.0016%$0.00
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Lowe's Home Improvement$25.004%$0.00
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Macy's$25.0010%$0.00
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Marcus Theatres$25.009%$0.00
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Marshalls$25.007%$0.00
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Mason Street Grill$25.009%$0.00
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Michael's $25.004%$0.00
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Mobil$50.002%$0.00
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Noodle's & Company$10.008%$0.00
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Office Depot$25.004%$0.00
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Office Max$25.005%$0.00
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Old Navy$25.0014%$0.00
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Olive Garden$25.009%$0.00
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Omaha Steaks$25.0011%$0.00
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Outback Steakhouse$25.008%$0.00
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Overstock.com$25.008%$0.00
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P.F. Chang's China Bistro$25.008%$0.00
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Panera Bread$10.009%$0.00
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Panera Bread$25.009%$0.00
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Papa John's$10.008%$0.00
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Pick N' Save$25.004%$0.00
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Pier 1 Imports$25.009%$0.00
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Pizza Hut$10.008%$0.00
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Pottery Barn$25.008%$0.00
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Qdoba Mexican Grill$25.007%$0.00
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Quizno's$10.0010%$0.00
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Red Lobster$25.009%$0.00
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Red Robin$25.009%$0.00
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Rock Bottom Restaurant$25.006%$0.00
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Sam's Club$25.002%$0.00
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Sears$25.004%$0.00
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Shell$25.003%$0.00
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Shopko$25.003%$0.00
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Speedway$25.004%$0.00
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Staples$25.005%$0.00
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Starbucks$10.007%$0.00
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Starbucks$25.007%$0.00
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Subway$10.003%$0.00
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SuperCuts$25.008%$0.00
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T.J. Maxx$25.007%$0.00
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Talbots$25.0013%$0.00
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Target$25.002%$0.00
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Texas Roadhouse$25.008%$0.00
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TGI Friday's$25.009%$0.00
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Toys-R-Us$20.002%$0.00
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Walgreens$25.006%$0.00
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Wal-Mart$25.002%$0.00
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Wendy's$10.004%$0.00
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Whole Foods Market$25.003%$0.00
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Williams-Sonoma$25.008%$0.00
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Please Make Checks Payable To Summerfield UMWPlease Add $1.00 Handling Fee$1.00
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