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Email: [email protected] Phone: (636) 458-5059 Organization Name Contact Phone Number Address Description Shipping & Handling Aeropostle $25 - NEW VENDOR AMC Theatres $7 American Eagle/Aerie Store $25 - NEW VENDOR Annie Gunn/Smokehouse $10 Applebee's $10 Applebee's $20 Barnes & Noble $10 Barnes & Noble $25 Bartolino's $25 Bass Pro $25 Bath & Body Works $10 Bath & Body/White Barn $20 Bed Bath & Beyond $25 Best Buy $25 Best Buy $50 BP $10 BP $25 Brunswick Zone $10 Brunswick Zone $25 Buffalo Wild Wings $10 Buffalo Wild Wings $25 Burger King $5 Cabella's $ 25 Cabella's $ 50 Cabella's $100 California Pizza $25 Cannoli's $10 Cheesecake Factory $25 Chili/Macaroni Grill $ 20 Chili/Macaroni Grill $100 Chris' Pancakes & Dining $10 Cracker Barrel $10 CVS Pharmacy $10 CVS Pharmacy $25 Dave & Buster $25 Dierbergs $ 25 Dierbergs $100 Dilliards $50 Domino's $10 El Torito/Casa Gallardo/Chevy's $25 Exxon/Mobil $50 - PROMOTIONAL PRICE Gaffneys $10 Game Stop $25 Gap/Old Navy/Banana Republic $25 Golf Galaxy $50 Gordman's $25 Hallmark $5 Home Depot $ 25 Home Depot $ 50 Home Depot $100 Home Depot $1000 Houlihan's $20 Houlihan's Seafood/Bristols $20

Customer Order Form Revised 5-14-2012

Acct. # Pickup or Delivery Ship to: City FaceValue $ $ 25.00 $ 7.00 $ 25.00 $ 10.00 $ 10.00 $ 20.00 $ 10.00 $ 25.00 $ 25.00 $ 25.00 $ 10.00 $ 20.00 $ 25.00 $ 25.00 $ 50.00 $ 10.00 $ 25.00 $ 10.00 $ 25.00 $ 10.00 $ 25.00 $ 5.00 $ 25.00 $ 50.00 $ 100.00 $ 25.00 $ 10.00 $ 25.00 $ 20.00 $ 100.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 $ 25.00 $ 25.00 $ 100.00 $ 50.00 $ 10.00 $ 25.00 $ 50.00 $ 10.00 $ 25.00 $ 25.00 $ 50.00 $ 25.00 $ 5.00 $ 25.00 $ 50.00 $ 100.00 $ 1,000.00 $ 20.00 $ 20.00 Price 7.50 24.00 6.50 24.00 9.50 9.60 19.20 9.60 24.00 24.25 24.00 9.30 18.60 24.25 24.63 49.25 9.95 24.87 9.50 23.75 9.50 23.75 4.90 24.00 48.00 96.00 24.25 9.50 24.50 19.00 95.00 9.50 9.60 9.80 24.50 23.75 24.00 96.00 48.00 9.70 23.75 49.37 9.75 24.38 24.00 48.00 24.00 4.90 24.62 49.25 98.50 985.00 18.80 18.80 Profit $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1.00 0.50 1.00 0.50 0.40 0.80 0.40 1.00 0.75 1.00 0.70 1.40 0.75 0.37 0.75 0.05 0.13 0.50 1.25 0.50 1.25 0.10 1.00 2.00 4.00 0.75 0.50 0.50 1.00 5.00 0.50 0.40 0.20 0.50 1.25 1.00 4.00 2.00 0.30 1.25 0.63 0.25 0.62 1.00 2.00 1.00 0.10 0.38 0.75 1.50 15.00 1.20 1.20 Percent 4.00% 7.14% 4.00% 5.00% 4.00% 4.00% 4.00% 4.00% 3.00% 4.00% 7.00% 7.00% 3.00% 1.48% 1.50% 0.50% 0.52% 5.00% 5.00% 5.00% 5.00% 2.00% 4.00% 4.00% 4.00% 3.00% 5.00% 2.00% 5.00% 5.00% 5.00% 4.00% 2.00% 2.00% 5.00% 4.00% 4.00% 4.00% 3.00% 5.00% 1.26% 2.50% 2.48% 4.00% 4.00% 4.00% 2.00% 1.52% 1.50% 1.50% 1.50% 6.00% 6.00% Qty $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ State

Fax: (636) 458-5059

Date: Residence? Zip Earnings $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

Cost

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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Email: [email protected] Phone: (636) 458-5059 Description Hyatt $50 Imos $20 Itunes $10 Jack in the Box $10 Jack in the Box $25 JC Penney $25 Just Me Apparel & Fischers' School Uniforms $10 KFC $5 Kmart $25 Kohl's $25 Lands End $25 Live Well Wellness Centers $25 Live Well Wellness Centers $50 Lowe's $ 10 Lowe's $ 25 Lowe's $ 50 Lowe's $ 100 Lowe's $ 250 Lowe's $1000 Macy's $ 25 (Famous Barr) Macy's $ 50 (Famous Barr) Macy's $100 (Famous Barr) Marriott Hotels $50 Mimi's Café $10 Mimi's Café $25 Motherhood Maternity $25 Noodles & Company $10 Noodles & Company $25 O'Charley's $25 Office Depot $25 Office Max $25 Old Country Buffet $25 Outback Restaurants $25 PROMOTIONAL PRICE Panera Bread $10 Panera Bread $25 Papa John's $25 Pasta House $10 Payless Shoesource $10 PFChang $25 PFChang $50 Pier 1 $25 Pizza Hut $5 Pizza Hut $10 Pottery Barn / Pottery Barn Kids $25 Pottery Barn / Pottey Barn Kids $50 Qdoba $25 Red Lobster/Olive Garden/Longhorn Steak $10 Red Lobster/Olive Garden/Longhorn Steak $25 Red Lobster/Olive Garden/Longhorn Steak $50 Red Robin $10 Regis Salon $10 Regis Salon $25 Sears $25 Shell $ 25 Shell $ 50 Shell $100 Shop 'n Save $ 5 Shop 'n Save $ 10 Shop 'n Save $ 25

Customer Order Form Revised 5-14-2012

FaceValue $ 50.00 $ 20.00 $ 10.00 $ 10.00 $ 25.00 $ 25.00 $ 10.00 $ 5.00 $ 25.00 $ 25.00 $ 25.00 $ 25.00 $ 50.00 $ 10.00 $ 25.00 $ 50.00 $ 100.00 $ 250.00 $ 1,000.00 $ 25.00 $ 50.00 $ 100.00 $ 50.00 $ 10.00 $ 25.00 $ 25.00 $ 10.00 $ 25.00 $ 25.00 $ 25.00 $ 25.00 $ 25.00 $ 25.00 $ 10.00 $ 25.00 $ 25.00 $ 10.00 $ 10.00 $ 25.00 $ 50.00 $ 25.00 $ 5.00 $ 10.00 $ 25.00 $ 50.00 $ 25.00 $ 10.00 $ 25.00 $ 50.00 $ 10.00 $ 10.00 $ 25.00 $ 25.00 $ 25.00 $ 50.00 $ 100.00 $ 5.00 $ 10.00 $ 25.00 Price 48.50 19.40 9.80 9.50 23.75 24.25 9.75 4.80 24.25 24.00 24.00 23.13 46.25 9.75 24.37 48.75 97.50 243.75 975.00 23.75 47.50 95.00 48.00 9.50 23.75 24.13 9.60 24.00 24.00 24.75 24.75 24.00 24.25 9.50 23.75 24.00 9.00 9.35 24.00 48.00 24.50 4.85 9.70 24.00 48.00 24.00 9.50 23.75 47.50 9.60 9.50 23.75 24.25 24.88 49.75 99.50 4.80 9.60 24.00 Profit 1.50 0.60 0.20 0.50 1.25 0.75 0.25 0.20 0.75 1.00 1.00 1.87 3.75 0.25 0.63 1.25 2.50 6.25 25.00 1.25 2.50 5.00 2.00 0.50 1.25 0.87 0.40 1.00 1.00 0.25 0.25 1.00 0.75 0.50 1.25 1.00 1.00 0.65 1.00 2.00 0.50 0.15 0.30 1.00 2.00 1.00 0.50 1.25 2.50 0.40 0.50 1.25 0.75 0.12 0.25 0.50 0.20 0.40 1.00 Percent 3.00% 3.00% 2.00% 5.00% 5.00% 3.00% 2.50% 4.00% 3.00% 4.00% 4.00% 7.48% 7.50% 2.50% 2.52% 2.50% 2.50% 2.50% 2.50% 5.00% 5.00% 5.00% 4.00% 5.00% 5.00% 3.48% 4.00% 4.00% 4.00% 1.00% 1.00% 4.00% 3.00% 5.00% 5.00% 4.00% 10.00% 6.50% 4.00% 4.00% 2.00% 3.00% 3.00% 4.00% 4.00% 4.00% 5.00% 5.00% 5.00% 4.00% 5.00% 5.00% 3.00% 0.48% 0.50% 0.50% 4.00% 4.00% 4.00% Qty $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Fax: (636) 458-5059

Cost $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Earnings -

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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Email: [email protected] Phone: (636) 458-5059 Description Shop 'n Save $ 50 Shop 'n Save $100 Sports Authority $25 Starbucks $ 10 Steak & Shake $10 PROMOTIONAL PRICE Steak & Shake $25 PROMOTIONAL PRICE Straubs' $25 Subway $10 Subway $25 Swing-A-Round $ 5 Swing-A-Round $20 Texas Roadhouse $10 Texas Roadhouse $25 TGI Fridays $10 TGI Fridays $25 The Face & The Body Day Spa $25 TJ Maxx $10 Toys R Us $10 Toys R Us $25 Walgreens $ 10 Walgreens $ 25 Walgreens $100 Walmart $ 25 Walmart $ 50 Walmart $100 Wendy's $10 Yacovelli Restaurant $10 Yankee Candle $10 Yankee Candle $25 TOTAL

Customer Order Form Revised 5-14-2012

FaceValue $ 50.00 $ 100.00 $ 25.00 $ 10.00 $ 10.00 $ 25.00 $ 25.00 $ 10.00 $ 25.00 $ 5.00 $ 20.00 $ 10.00 $ 25.00 $ 10.00 $ 25.00 $ 25.00 $ 10.00 $ 10.00 $ 25.00 $ 10.00 $ 25.00 $ 100.00 $ 25.00 $ 50.00 $ 100.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 Price 48.00 96.00 24.75 9.75 9.50 23.75 24.50 9.80 24.50 4.75 19.00 9.60 24.00 9.60 24.00 23.75 9.60 9.90 24.75 9.90 24.75 99.00 24.75 49.50 99.00 9.80 9.60 9.50 23.75 Profit 2.00 4.00 0.25 0.25 0.50 1.25 0.50 0.20 0.50 0.25 1.00 0.40 1.00 0.40 1.00 1.25 0.40 0.10 0.25 0.10 0.25 1.00 0.25 0.50 1.00 0.20 0.40 0.50 1.25 Percent 4.00% 4.00% 1.00% 2.50% 5.00% 5.00% 2.00% 2.00% 2.00% 5.00% 5.00% 4.00% 4.00% 4.00% 4.00% 5.00% 4.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 2.00% 4.00% 5.00% 5.00% Qty $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Fax: (636) 458-5059

Cost $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Earnings -

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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