PLEASE fill out only one form per family.
Click SHOW TOTALS button at the bottom of the form or press ENTER when done.
Name:    Phone:    Pick Up in Church Office
Pick Up After Mass this Weekend**
  Credit (if applicable):
Building Fund Credit? Yes       No
Tuition Credit? Yes       No
If Tuition Credit is desired: Child's Name:   
  Program:           AM           PM
                    3 Yr.    4 Yr.    5 Yr.
**Weekend pick-up after masses is only available if your order is placed by Noon on Friday.
 
BOOK STORES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Barnes & Noble,
Doubleday &
B Dalton		 $10   Yes Borders &
Waldenbooks		 $10
No Family Christian Bookstores $25   Yes Borders &
Waldenbooks		 $25
CLOTHING AND SHOE STORES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No American Eagle Outfitters
(not for account payment)		 $25   No Dress Barn $25
No Eddie Bauer $25   Yes Express $25
No Fashion Bug,
Catherines &
Lane Bryant		 $25   No GAP, Old Navy &
Banana Republic		 $25
Yes Kids 'R' Us
& Toys 'R' Us		 $20   No Limited $25
No Payless Shoes $20
DEPARTMENT STORES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes J.C. Penney
(can be used to pay charge or purchase online)		 $25   No K Mart $25
Yes Kohl's
(can be used to pay charge or purchase online)		 $25   Yes Marshalls &
T.J. Maxx		 $10
No Sears $25   Yes Marshalls &
T.J. Maxx		 $25
No Value City $10   Yes Walmart &
Sam's Club		 $25
ELECTRONICS STORES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Best Buy $25   No Circuit City $50
No Radio Shack $25
ENTERTAINMENT VENUES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No Loew's Cineplex $25   Yes Wildwood Highlands $10
GAS STATIONS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No Amoco/BP Oil $50   Yes Exxon/Mobil $50
Yes Sheetz $25   No Shell $25
Yes Sunoco $50
GROCERY STORES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Giant Eagle $10   Yes Shop N Save $25
Yes Giant Eagle $25   Yes Shop N Save $50
Yes Giant Eagle $50
Yes Giant Eagle $100
HOME IMPROVEMENT CENTERS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Home Depot $25   Yes Lowe's $25
HOUSEHOLD GOODS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Bed Bath & Beyond $25   No Linens & Things $25
No Pier One $25   No Pottery Barn/
Williams Sonoma		 $25
MISCELLANEOUS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No Amazon.com $25   Yes Baskin Robbins $2
No Bedandbreakfast.com $50   Yes Bath & Body Works $10
Yes Blockbuster $10   Yes Bath & Body Works $25
No Build a Bear $25   No Carnival Cruise
(to pay for cruise, not for on-board purchases)		 $100
No CVS Pharmacy $25   No GNC $25
No Harry & David $25   No Honeybaked Ham $10
No JoAnn Fabrics $20   No KB Toys $20
No Ritz Camera Shop $25   No Sally Beauty Supply $25
OFFICE SUPPLIES
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No Office Depot $25   No Office Max $25
No Staples $25
RESTAURANTS & FAST FOODS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
Yes Applebee's $25   Yes Arby's $10
No Bob Evans $10   No Buca Di Beppo $25
Yes Burger King $10   Yes Cheesecake Factory $25
Yes Chili's/
On The Border		 $20   No Cracker Barrel $10
No Damon's $25   No Dave & Buster's $25
No Denny's $10   No Domino's Pizza $5
Yes Eat N Park $10   Yes KFC $5
No Longhorn Steakhouse $25   Yes Max & Erma's $20
Yes North Park Lounge Clubhouse $10   No Old Country Buffet $25
Yes Olive Garden/
Red Lobster/
Smokey Bones/
Bahama Breeze		 $25   No Outback Steakhouse $25
Yes Panera Bread $10   No Pizza Hut $10
No Ponderosa Steakhouse $25   No Red Robin $10
No Ruby Tuesday's $25   No Spaghetti Warehouse $20
Yes Starbucks $10   No Subway $10
Yes TGI Friday's $20   Yes Wendy's $10
SPORTING GOODS
In-Stock?   Quantity Cost Amount   In-Stock?   Quantity Cost Amount
No Cabela's $25   Yes Dick's Sporting Goods $25
No Gander Mountain $25