Custom Gift Form

Create Your Custom Gift Box

Let me help you design a meaningful gift filled with love, faith, and a personal touch.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred method of communication.
Gift Recipient Info
Who is this gift for? Name, and relationship to you — friend, teacher, co-worker, etc.)
What's the occasion? (Birthday, Get Well, Teacher Appreciation, Just Because, etc.)
What's the recipients age range? (Child, Teen, 20s, 30s, 40s, 50+, etc.
What kind of gift style would the recipient enjoy? (Select all that apply)
Any known allergies, sensitivities, or strong dislikes? N/A if none.
What are some things they LOVE? Colors, snacks, scents, hobbies, fandoms, etc.)
Is there a theme or vibe you'd like this basket to have? (Faith-based, cozy, fun & bright, spa day, foodie, etc.) *Leave blank if no preference*
Would you like to include a note or card? (If yes, please write what you’d like it to say below.)
Budget & Preferences
The Grab & Gift Box

Ready-made. Budget-friendly. Filled with heart.
Price Point: $15- $22 (depending on contents)

What It Includes:
- 2–3 pre-selected items from my on-hand inventory (hand cream, lip balm, sweet treat, journal, socks, etc.)
- Simple but cute packaging (small kraft box or cello bag with tissue)
- Optional: Add a card insert for $2 extra
- $5 to deliver (10 mile radius)
- Shipping $8+
What is your budget for the basket?
Do you have a preferred delivery date? *(Please allow a minimum of 3–5 business days)*

MonthDayYear
Date
Delivery Info
Will this be delivered locally or shipped?
Extra Details
Any special instructions or final thoughts you'd like to share? (This is your space to tell me anything else that could help me make this gift extra special!)
Client Agreement Statement:
By signing and submitting this form, I confirm that all information provided is accurate and complete to the best of my knowledge. I understand that this is a binding request for a custom gift box through A Touch of Melba Jean, and that I will receive an invoice based on the details submitted. I acknowledge that once the invoice is sent, payment is expected within 24 hours to begin the creation and delivery process. I understand that due to the custom and handmade nature of these gifts, all sales are final and non-refundable.
Should be Empty:

Create Your Custom Gift Box

Gift Recipient Info

Budget & Preferences

The Grab & Gift Box

What It Includes:

Delivery Info

Extra Details

Client Agreement Statement: