Print order form and fax to: 610-681-6185
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When Ordering: |
Page __________ of __________ |
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1.
Please supply all information requested, especially recipient's zip code and
phone number. |
3.
We cannot ship to PO Boxes, APO - FPO Boxes or foreign addresses. We can ship
to our friends in Hawaii and Alaska but, please add $30 to the listed
shipping price and allow three additional days for delivery |
Step 1. Credit
Card Holder's name, address and phone number.
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Name: |
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Company: |
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Address: |
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City, State and Zip:
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E-mail address:
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Contact Telephone Number:
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Step 2. Indicate your payment Preference
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VISA
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MasterCard |
Discover |
American
Express |
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Credit card number: |
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CVV2: (3 Digit number on back of card for
Visa & MasterCard) (4 Digit number on
front of card for Discover & AMEX) - |
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Expiration Date: |
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Credit Card Signature: |
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Step 3. Itemize Gift Purchases
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SKU No.
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Item Description
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Qty
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Price
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Shipping
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Total Price
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Subtotal |
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Shipping (please see shipping costs from drop down menu of item) |
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Subtract discounts |
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Total Amount: |
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Step 4. Fill in Gift Recipient Information (Print as many Gift Recipient pages as needed)
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Recipient's Phone No.:
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Name: |
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Company Name: |
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Street: |
Apt. No.: |
Floor: |
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City: |
State: |
Zip: |
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Card Greeting & Signature: |
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Shipping
Method: Delivery Date: _______________________ Ground 2
Day Rush 3 Day Rush |
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Copyright 2003-2009 All rights reserved Baskets By JoJo