Baskets By JoJo Gift Basket Order Form

RR 1 Box 1045, Kunkletown PA 18058 Phone: 610-681-4215

Print order form and fax to: 610-681-4215.

When Ordering:	Page __________ of __________
1. Please supply all information requested, especially recipient's zip code and phone number. 2. Please verify all delivery address data. Redelivery charges will apply to orders requiring reshipment due to incorrect delivery information. Delivery services will not forward to another address.	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 4. Order by gift name and Item number. 5. Please type or print clearly. 6. If ordering large quintiles, include recipients list with order form.

Step 1. Credit Card Holder's name, address and phone number.

Step 2. Indicate your payment Preference

VISA	MasterCard	Discover	American Express
Credit card number:
CVV2: (3 Digit number on back of card for Visa & MasterCard) (4 Digit number on front of card for Discover & AMEX) -
Expiration Date:
Credit Card Signature:

Step 3. Itemize Gift Purchases

SKU No.	Item Description	Qty	Price	Shipping	Total Price


Subtotal
Shipping (please see shipping costs from drop down menu of item)
Subtract discounts
Total Amount:

Step 4. Fill in Gift Recipient Information (Print as many Gift Recipient pages as needed)

Recipient's Phone No.:
Name:
Company Name:
Street:	Apt. No.:	Floor:
City:	State:	Zip:
Card Greeting & Signature:
Shipping Method: Delivery Date: _______________________ Ground 2 Day Rush 3 Day Rush