Your Current Phone Number:
Alternate Phone Number (for confirmation call):
Apt, Floor, or Suite Number
Recipients Phone Number:
Recipients Deliver/Ship to Address:
Apt, Floor, Suite # Business or Residence:
Name of Desired Basket: (Other designs available on request)
This gift is for a:
The recipient is a:
Your relationship to recipient:
(used for appropriateness of gift design)
Desired Price Range:
Recipients likes/dislikes: (hobbies, etc.)
Gift Card Message:
This basket should be:
Date to be delivered by: Month
To ensure your gift will arrive on time, please
allow more time for delivery during high volume holiday seasons.
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Shipping rates are based on weight and location, while delivery is based upon distance. Upon receiving your order
confirmation call, your sales representative will give the pricing for delivery or shipping costs. UPS will not
ship to PO Box addresses.
*Please note that most orders will
ship within 24 hours of placing your order. If there will be a significant delay, a sales representative will contact
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