Order Form
Baskets cannot be delivered to P.O. Boxes or APOs.
Baskets delivered via florist can be delivered to Rural Routes (recipient phone number must be included).
Baskets delivered ground, second day or overnight cannot be delivered to Rural Routes.
Note: For your protection we're not taking credit cards . Feel free to submit your order via our fax number (323) 581-0729 but call us with your credit card number. Thank You!
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Purchaser Information
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Date Ordered:
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First Name :
Last Name :
Company:
Address:
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City :
State:
Zip:
Country:
Phone :
Fax :
E-mail Address :
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Delivery Information
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Delivery Date :
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Delivery Time:
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AM
PM
Location Type:
Select One
Residential
Business
Building
Apartment
School
Type/Theme of Basket:
Select One
Top Hat_$77.00
Party Favors
Star_$89.00
Coffee Anyone_$35.00
Cheers_$78.00
Kid Stuff_$38.00
Baby Basket_$133.00
Treasure Chest_$90.00
Wooden Crate_
Picnic Basket_100.00
Movie Time_$85.00
First Name :
Last Name :
Company:
Address:
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City :
State:
Zip:
Country:
Phone :
E-mail address
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Message or Special Instructions:
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