Newby Gift Basket Order Form - Newby Country Store

Gift Basket Order Form

We offer delivery to all of Madison & Fayette Counties. If you need delivery to another area please message us 😊
Thanks so much for letting us be a part of your gift experience!! Built-in 1891 we are one of the few true remaining country stores. If you are in the area, we'd love for you to stop by! In the meantime, we promise to make your basket as special as possible!! If there are any special requests, please let us know!! You can email at newbystore@gmail.com or call/text us at 859-624-2274.

This form will show you examples and options of what we offer. It will also ask for some of your information. Should you decide not to order, no worries, we don't save any of your information until you hit "submit" for your order! And we NEVER share your information with 3rd parties. We only use it to delivery your gift and occasionally tell you about special offers. 😊
Who is ordering?*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Thank you {whoIs:first}!

Who is it for?
Recipient Name*

First NameLast Name
Delivery Address*

Street Address

Street Address Line 2

CityState

Zip Code
Recipient's Phone Number*
Please enter a valid phone number.
Do you want us to text message the recipient when their gift basket arrives?*

YesNo
Preferred Delivery Date (We deliver in Richmond daily and in Lexington with 48 hours notice)

MonthDayYear
Date

How many people is this Gift Basket for?*
Choose the Gift Basket Theme*

Traditional (specialty soda, snacks, vintage items, etc.)Appreciation (teacher, employee, co-worker, etc.)EKU Colonel Basket (Traditional with maroon theme)UK Wildcat Basket (Traditional with a blue theme)Test/Exam/Finals Basket (easy snacks, fresh fruit, homemade soups)Other - Give us a theme and we will make it happen!
How would you like the Gift Basket Packaged?*

In an open flat (as seen in the photos)In a closed and taped box

Let's add the finishing touches {whoIs:First}.

We're almost there!
I would like a Gift Basket price of ( $5 delivery fee and 6% sales tax will be added)*

$50$60$75$100
Message for the Card*
Other Special Requests/Comments

Gift Basket Order Form