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Gift Baskets

	Fruit basket includes seasonal fruit arranged in wicker basket $25.00 and up

	Gourmet basket consists of seasonal fruit, chocolates, cheese & crackers, pickles, etc. $35.00 and up

PLACE YOUR ORDER

RECIPIENT'S

NAME:

ADDRESS:

CITY:

PROVINCE:

PHONE #:

CARD MESSAGE:

COLORS 1st & 2nd CHOICES:

SENDERS

NAME:

ADDRESS:

CITY:

PROVINCE:

POSTAL CODE:

PHONE #:

DELIVERY DATE:

Payment Method

Charge to my VISA
Charge to my MasterCard
Charge to my American Express
Charge to my Discover

CREDIT CARD #:
EXP DATE:
NAME ON CARD:

Please print this form and fax to:
1-204-748-2425