H.O.P.E. ORDER FORM - sjsomaha.org

1 Sycamore#Parish:Cards in StockCircle choice# cardsPre ORDER Only *Circle choice# cardsRetail StoresGrocery StoresAce Hardware (4%)$25 Bag N Save (5%) $10/$ (4%)$25 / $100 Bag N Save (5%) $50 American Eagle (10%)$25 Fareway (3%)$10/$25/$50 Build-a-Bear Workshops (8%)$25 HyVee gift cards (3%)$25/$50 Bed Bath & Beyond (7%)$25 HyVee coupon book (40%) $5 BassPro Shops (9%)$25 Retail StoresCabela's (11%)$25 Barnes & Noble (9%) $10/$25 Childrens Place (12%)$25 Bath & Body Works (13%) $10/$25 Claire's/ Icing (9%)$10 Best Buy (3%) $25 Crate and Barrel (8%)$25 Dennis Uniform (5%) $20 CVS Pharmacy (6%)$25 Gap/Old Navy (9%) $25 Dick's Sporting Goods (8%)$25 Gloria Deo (5%) $20 Dillards (9%)$25JC Penney (5%) $25/$100 Dress Barn (8%)$25 Kohls (5%) $25/$50/$100E B Games/ Game Stop (3%)$25 Marcus/ Douglas Theaters (9%)$25 Eddie Bauer (10%)

2 $25 Shopko (3%) $25/$50 Express (13%)$25 Target (2%)$25/$100 Footlocker (9%)$25 Toys R Us/Kids R Us ( ) $20 GNC (8%)$25 Walgreen's (6%) $25 Gordman's (7%)$25 Walmart/ Sam's Club (2%) $25/$100 Great Clips (8%)$25Jo Ann Fabrics (6%)$25 Land's End (16%)$25 Lane Bryant/ Fashion Bug (6%)$25 Limited (9%)$25 Home ImprovementsMarshall / TJ Maxx (7%)$25 Home Deport (4%)$25/$100 Men's Wearhouse (8%)$25 Lowe's (4%) $25/$100 Michael's (4%)$25 Menards (3%) $25/$ ORDER FORMBy pre-ordering, your ORDER is already processed and ready to pick up at either Parish office, the school office, or after weekend masses. All you do is drop off your payment and pick up the place your ORDER : Complete and return this form to any sales location OR call your ORDER to the office at 402-572-7897or go on line to Orders placed before 10 am on Monday will be available at weekend masses.

3 Orders placed after that timewill be available if certificates are in stock. Any ORDER over $200 (individual retailer) must be Donated to Sch Families/Parish/SchoolCards in StockPre ORDER Only*RestarurantsCircle choice# cardsRetail StoresCircle choice# cardsApplebee's (8%)$25 Office Depot (4%)$25 Arby's (15%) $10 Office Max (5%)$25 Burger King (4%) $10 Payless Shoes (13%)$20 Carrabas/Outback (8%) $25 Pet Smart (4%)$25 Fernando's (20%)$10 / $25 Pier 1 Imports (9%)$25 Godfather's (10%)$10 Pottery Barn / William S. (8%)$25 Granite City (10%) $25 Radio Shack (4%)$25 KFC (8%) $5 Sally's Beauty Supply (12%)$25 Mangia Italiana (10%)$10 Sears (4%)$25 Old Chicago (10%)*$25 Sports Authority (8%)$25 Olive Garden/ Red Lobster (9%)$25 Staples (5%)$25 Outback/ Carrabas (8%) $25 Talbot's (13%)$25 Panera Bread (9%)$10/$25 Younkers (8%)$25 Pizza Hut (8%) $10 RestaurantsRed Robin (9%) $25 Boston Market (12%)$10 Romeo's (10%)$10 Brueggers Bagels (7%)$10 Runza (10%)$10 Dairy Queen / Orange Julius (3%)$10 Starbucks (7%) $10 Great Harvest Bread Co (8%)$10 Subway (3%)$10 Honey Baked Hams (12%)$25 Taco Bell (5%) $10 Ruby Tuesdays (8%)$25 Tussey's Grill (10%)$25 Qdoba (7%)$25 Valentino's (9%)$10 Omaha Steaks (11%)$25 Wendy's (4%) $10PF Chang's (8%)$25 Gas StationsTexas Roadhouse (8%)$25BP Gas ( )$50/$100 TGIF ridays (9%)

4 $25 Shell Gas ( ) *$100 Cenex *25/$50 Entertainment /Travel/ HotelsAMC Theater (7%)$25 Hyatt Hotels (9%)$50iTunes (5%)$15/$25 Total OrderPlease attach your check with this ORDER . Thank a list of more vendors - go to placing your ORDER on line - Enrollment Code #F553 DFF21229