Simply Elegant Order Form

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Products *
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Thank You Basket $ 40.00

Quantity

Sparkling Home Basket $ 35.00

Quantity

Kids' Game & Movie Night Basket $ 45.00

Quantity

Gourmet Snack Basket $ 45.00

Quantity

Deluxe Welcome Home Basket $ 65.00

Quantity

Gardner's Gift Basket $ 65.00

Quantity

Custom Basket Deposit- (Final Pricing Below) $ 20.00

Total $ 0.00
Custom Basket (Details for final pricing)
What is your budget? What would you like included?
Full Name *

First Name Last Name
E-mail *
Contact Number *

Area Code Phone Number
Send Gift

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Recepient's Name

First Name Last Name
Recepient's Phone Number

Area Code Phone Number
Delivery Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Date of Delivery or Pickup *

Month Day Year
Date
Additional Requests
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Simply Elegant Basket Order Form