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:
Zip Code:
Country:
Phone:
Email:
Ship To:
First Name:
Last Name:
Address:
Apartment:
City:
State:
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