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Print and fax ONE form per recipient 800-745-1957
( type or print clearly )
ALL fields are required.
Order #___of___.

Date:

Contact Name:

Contact E-Mail Address: (for your receipt)



Bill To Info: Must match credit card statement Ship To Info: (No p.o. box)
NAME NAME
COMPANY COMPANY
ADDRESS (Physical street address. Inc. suite or apt# if applicable)



CITY, STATE, ZIP CITY, STATE, ZIP
PHONE # PHONE #

CREDIT CARD TYPE (check one)

____Visa ____M/C ____Amex ____Discover
CARDHOLDER'S NAME EXP. DATE
CREDIT CARD # Cardholder's Signature Required 3 or 4 Digit Card Verification Value CVV2 help

Qty:

Item #:

Sz/Color:

Item Name

Cost Ea:

SubTotal:

  • Enter a brief message & signature for your gift card. (Max 150 characters)















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Select shipping option

___Ground 3/10 biz days: $9.95 ea.

___2/3 biz days: $34.50 ea.

___3/5 biz days: $29.90 ea.

___HI / AK: airship $59.95 ea.

___hand deliver: $19.95 ea.
(Fruit / balloons / flowers only)
Total:












wine-gifts-wine-baskets
Wine Gifts & Baskets
Premium quality wine boxed elegantly or paired with fine gourmet foods. The perfect gift for the wine connoisseur or casual wine lover.

Fruit Basket DeliveryHealthy fruit baskets are fantastic gifts for any occasion. Last minute fruit basket gifts, chocolates, and gourmet available for same day delivery.

gourmet food gift baskets
Gourmet Gift Baskets
Make a great impression with our high-quality gourmet gifts. Gourmet gift baskets make the perfect gift to recognize and show appreciation.

 
Champagne Delivery
Champagne Gifts
Champagne gifts for celebrating, rewarding or expressing appreciation. Go the extra mile with premium champagne and gourmet gifts.
FLORIST DELIVERY
Send Fresh Flowers, Same Day Delivery
Floral gifts are perfect for sending encouragement, expressing love, appreciation, and the warmest wishes.

Chocolate and Fresh Fruit
Chocolate and Sweet Gifts

Send the most indulgent gourmet chocolates, truffles, holiday gifts paired with fresh fruit, gourmet and more.