Gift Basket - Order Form
Full Name
*
First Name
Last Name
E-mail
*
Phone #
*
-
Area Code
Phone Number
*
Note: Orders should be made 1 week in advance, if within frame a rush charge may be applied, and you must call 502-897-4212 for assistance.
Delivery Date
*
-
Month
-
Day
Year
Date Picker Icon
Delivery Location (If Legacy Hotel, include Name, Room #, and arrival Date)
*
Account Number: 16 Digits
*
Add On Selection
*
Product #
Quantity
Notes
Handwritten Note
Scholar Add On
Athlete Add On
Under the Weather Add On
Gifts Add On
Local Add On
Seminary Add On
You Pick Add On (Clarify in Notes)
Basket Selection
*
Quantity
Notes
Gift Baskets -starting at $25
*Note: Please Clarify specific items for your add on selection in the notes section.
Full Name
First Name
Last Name
Submit Order Form
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