1-800-393-2181
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Our Gift Baskets
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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.

Item # Qty Item Name Price
Each		 Price
Total
Subtotal
UPS Ground Service:
SM $7.95 * MED $8.95
LG $9.95 - XLG $10.95

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:
Name
Company Name
Address
City (full name)
State/Province
Zip/Postal Code
Country
Phone:
Fax:
Email:
Deliver this order to:
Name
Address
City (full name)
State/Province
Zip/Postal Code
Country
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: 
Special Instructions: 
Delivery Date: (mm/dd/yy)
Occasion:
Account Number
Please enter your ExclusiveGiftBaskets.com Account Number.
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).
 
  

 

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Copyright 2001 A1 Gift Baskets.com, All Rights Reserved
email: sales@a1giftbaskets.com  
Toll Free: 1-800-393-2181  |  Phone: 609-720-0300  | Fax: 609-720-0505
14 Dunbar Drive, West Windsor, NJ 08550 USA
All images are copyright of FloraFax Gift Basket Club in association with Anthuriums International Inc. and Gourmetsales.com
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