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Gift Baskets/Personal Shopping Form
If interested in having our professional shoppers shop for you, please fill out the form below. (Fill out a separate form for each gift.) Simply submit this form before actually putting in the order. We will contact you with the total amount including shipping and handling. You may then go to the order page and submit payment. (If you would like us to email you a list of the contents of the personalized basket or gift before you purchase it, please allow an extra five business days.) Thank You!!
Bill To:
First Name:
Last Name:
Address:
Apartment:
City:
State:
-- Please Choose One --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Country:
Phone:
Email:
Ship To:
First Name:
Last Name:
Address:
Apartment:
City:
State:
-- Please Choose One --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Country:
Phone:
How much do you want to spend in US dollars (excluding shipping and handling) on contents of the basket or personal gift(s)?
Less than $10
$10 - $20
$30 - $40
$40 - $50
$50 - $75
$75 - $100
$100 - $150
$150 - $200
Over $200. Please specify approximate amount
This gift is for:
a baby under 6 months old
a baby 6 months to 1 year old
a child Age:
an adult Age:
a family Ages/Gender:
an animal What kind?
a company or organization
How many employees or members?
What kind of company/organization?
If applicable, is this for:
a male
a female
Is this for a special occasion?
Yes
No
If yes, please describe:
Anniversary Which one?
Baby Shower
Boy
Girl
Don't know gender
Twins or more How many?
Birthday
Bridal Shower
Chanukah
Christmas
Easter
Employee/Employer Appreciation
Father's Day
Graduation
Mother's Day
New House
Thanksgiving
Valentine's Day
Wedding
Other. Please specify:
Preference:
Basket
Gift wrapped
If you would like a description of the item(s) our creative staff has assembled personally for you prior to submitting your payment, please check this box and allow an additional five business days for processing.
Your Name:
E-Mail:
Phone:
Gift for:
Indicate what you would like on enclosed card