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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: