|
Home
CUSTOM ORDER FORM
Please print this order form and send the
completed form to us by fax or
email, or to use as a guide when placing a phone order.
Gift Bundles 'N Baskets
P.O. Box 3035
Chesterfield, VA 23832
804-590-0776
Fax: 804-590-3307
Order Toll Free: 866-590-0776
Email: Bonnie@giftbundlesnbaskets.com
FROM:
Name:
__________________________________________________
Address: __________________________________________________
__________________________________________________
Phone: ____________________
Fax:
____________________
Email: ____________________
TO:
Name:
__________________________________________________
Address: __________________________________________________
__________________________________________________
Phone: ____________________
GIFT INFO:
Occasion: __________________________________________________
Price: ____________________
Desired Delivery Date and Time: ________________________________
Basket Name from Catalog or Website: ___________________________
OR:
Describe specific items you would like to include. We will match our
inventory
as closely as possible to these requests. Please include any items we cannot
use due to allergies, dietary restrictions, etc.
________________________
___________________________________________________________
___________________________________________________________
Message on gift card: __________________________________________
PAYMENT:
Credit Card Type: ____________________
Credit Card Number: __________________________________________
Expiration Date: _____________________
Name as it appears on card: _____________________________________
Please let us know how you found us. ___________________________
THANK YOU FOR YOUR ORDER!
|
