| ORDER FORM |
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| Name Address City State Zip Phone ( ) - Name: Address City State Zip Phone ( ) - Email Method payment (please circle or mark with X) Visa MC Check MO Check payments please include DL# and state, exp date, 2 phone #'s |
| Ship to: |
| Bill to: |
| QTY ITEM DESCRIPTION SCENT COLOR PRICE |
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| Subtotal Add $2 for each custom created gift basket Total $3.00 handling fee will be charged to all orders. Local area delivery available for a $5.00 flat fee.. See our shipping section for more details. Oklahoma residents will be charged 8.375% sales tax. All orders will be processed as they come in but will not be shipped till payment recieved. |
| Special Instructions: |
| Please copy and paste into email or print form and mail or fax copy . We will contact you with the total amount including shipping and handling. |