Order Now from our Online Catalog - ExclusiveGiftBaskets.com

ExclusiveGiftBaskets.com Online Product Order Form
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Current Product and Price List
Please call or email us for multiple orders or if your are unable to fit your order on this form.

NOTE: X'MAS deliveries are no longer guaranteed on UPS ground service orders. Please upgrade to air service if this is of concern. Our main distribution center is in New York.

Item #	Qty	Item Name	Price Each	Price Total






		Subtotal
UPS Ground Service: SM $8.95 * MED $9.95 LG $10.95 - XLG $11.95 Alaska or Hawaii $5.00 extra		Shipping
2 Day Add $9.95 or Next Day $19.95 extra		Misc
THANK YOU FOR YOUR ORDER		Total Due

PAYMENT INFORMATION: CREDIT CARDS

Credit Card Type
Card Number
Expiration Date
Cardholder Name

I prefer to pay by Check or Money Order - (Sorry, NO COD's)

Sent From:

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	Company Name
	Address

	City (full name)
	State/Province
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	Phone:
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	Phone:

Delivery Instructions: Please sign the gift card the way you want your name to appear. If you don't want your name on the card, please check here!

	Gift Card Message:	N/A
	Special Instructions:	N/A
	Delivery Date:	(mm/dd/yy)
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Your phone number is your ExclusiveGiftBaskets.com Account Number unless you were previously assigned a different number.
Include your area code and use only the numbers (ex: 5551234567).