GIFT
BASKET
FAX IN
ORDER FORM
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print, fill out, & fax
FAX
(916) 443-8285 PHONE (916) 443-8275
BASKET DESCRIPTION OR NUMBER & PRICE:_______________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
CARD TO READ:_________________________________________________________________________________________________________________________
_____________________________________________________________________________
CARD SIGNED:__________________________________________________________________________________________________________________________
To Deliver/Ship on date:
_______________________(circle one)
LOCAL DELIVERY
or
SHIP
Shipping and delivery costs will be added to
your total.
All orders received before 10:00 AM will be shipped out the same business day.
24 hours (1 business day) notice needed for local delivery.
(See Shipping Rates/Information for more details and rates)
WHO IT GOES TO (NAME) ___________________________________________________________________________________________________________Address?__________________________________________________________________________________________________________________________ |
|
Name of WHO IT IS FROM _______________________________________________________________________________________________________________ Business Name: _____________________________________________________________________ Phone #___________________________________________
Orderer’s
Address: _____________________________________________________________________________________________________________________ |
|
Special
Instructions or Comments:
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PAYMENT INFO: MC
VISA
DISCOVER AM EX
Card
#__________________________________________ Expir Date___________________