GAx Order request form
After you fill out this order request, we will contact you to go over details and availability before the order is completed. Any response with an asterisk(*) REQUIRES a consultation session. If you would like faster service and direct information on pricing, please contact us through our Instagram: @goshenaesthetix OR Email: contact@goshenaesthetix.com
Your information
You (the giver’s) personal information
Your name (the gifter)
*
First Name
Last Name
Best way to reach you
*
Email
Phone
Social media
Other
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Social media handle
Other ways to reach you
Do you feel that you give good gifts?
Yes, I am very thoughtful with my gifts
No, I have no idea what I am doing
I think so…I don’t get any complaints
Are you in need of direct gift consultation services in order to make a choice
*
*Yes, I need help choosing what to gift
Nope, I already know what I will be ordering from here.
*Not sure
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Gift Recipient information
About the person you are giving the gift to
Recipient's Name
First Name
Last Name
Relationship to recipient
Recipient's favorite color
Recipient's Age
Anything else the recipient really likes (ie- favorite flower, animal, activity etc.)
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The Gift
About what type of gift you'd like to give
Gift giving occasion
*
Please Select
Birthday
Christmas
Graduation
Ordination
Bridal Shower
Wedding
Baby Shower
Anniversary
Sympathy
Just Because
Souvenir
Housewarming
Business-warming
Retirement
"Thank you" gift
Baptism
Mother's Day
Father's Day
Other
If you chose "other" please include details in next section
Other
What is your budget?
How much are you willing to spend?
Gift of choice
*
Mug (vinyl; empty)
*Mug (vinyl; filled)
Mug (sub;empty)
*Mug (sub; filled)
*Other drinkware (thermos, bottles, shot glasses)
T-shirt (vinyl)
T-shirt (sub)
T-shirt (front&back;vinyl)
T-shirt (front&back;sub)
Hat
Keychain (vinyl)
Keychain (sub)
*Gift basket
*Earrings
Tote Bag (vinyl)
Tote Bag (sub)
*Name Plate
*BYOB (Bring Your Own Blank)
*Image on Canvas
Other
*Specific Design
Browse Files
Drag and drop files here
Choose a file
In the event that you want a specific design on your gift (ie.-image printed on a mug or t-shirt) please upload any images or designs here. Images MUST be clear and uploaded in either PDF,JPEG or PNG format.
Cancel
of
When do you need your gift?
*
-
Month
-
Day
Year
Keep in mind that if you have chosen "other" on our list of gift options or would like something designed from scratch, please allow up to TWO WEEKS for the creative process..
Are there any other details you would like to include about your order? or anything else you would like for us to know?
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Appointment for consultation (if needed)
Submit
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