Adorable Gift Baskets - Fax one form per recipient to 800-745-1957. Type or print clearly. All fields required. Illegible & incomplete faxes cannot be processed.
Date: |
Contact Name: |
Contact Phone and E-Mail Address:
(for your receipt)
|
| Billing
Information:
Must match credit card statement
|
USA Shipping Address
: (We cannot ship to a p.o. box or foriegn address) |
| NAME |
NAME |
| COMPANY |
COMPANY |
| ADDRESS |
Physical street address. (Inc. suite or apt# if applicable)
|
CITY,
STATE, ZIP
|
UNITED STATES City,
State, Zip - Zip Code Finder |
| PHONE
# |
PHONE
# |
CREDIT
CARD TYPE (check one)
____Visa ____M/C ____Amex |
CARDHOLDER'S
NAME
|
EXP.
DATE |
CREDIT
CARD # (Please type or print large and bold. If we cannot read it, we cannot process your order.)
|
Cardholder's Signature REQUIRED
|
3 or 4 Digit Card Verification Value CVV2 help
|
Qty:
|
Item #: |
Sz/Color: |
Item Name |
Enter message for your gift card. (Max 150 characters)
|
SHIPPING OPTIONS: - Orders ship within 1-3 business (Mon-Fri) days. Arrival times shown are estimates only and do not include Sat, Sun, holidays, day order
is placed or shipped. Please submit a new order for each individual recipient. All fields are required.
Please note: Free ground shipping and discount codes apply to orders placed Online ONLY and DO NOT apply to orders submitted by fax, spreadsheet, phone or other methods.
____Gift basket cost X ______ = ________
____Ground: 3-9 business days (exc. HI & AK) ($11.95 each)
____2-3 business days (exc. HI & AK) ($39.50 each)
____1-2 business (Mon-Fri) days ($58.50 each)
|
|
| GRAND TOTAL: |
|
|