Baskets of Plenty, Inc. Fax
Order Form Customer/Purchaser Information: Name:__________________________________________ Phone__________________
(Required) Company Name:__________________________________ Phone__________________ Address: ________________________________________ Suite/Apt. # _____________ City_____________________________ State_______ Zip __________ E-mail ____________________________________________________ 1st
Gift Order Recipients Name: __________________________________ Phone: _______________
(Required) Company: ________________________________________ Address: _________________________________________ Suite/Apt# ____________ UPS will not
deliver to P.O. boxes City: _________________________________ State: _________ Zip: ______________ Item: ____________________________ Price:__________ Delivery Date: _________ Message & Signature: _______________________________________________________________________ Comments: _______________________________________________________________________ Recipients Name: __________________________________ Phone: _______________ (Required) Company: ________________________________________ Address: _________________________________________ Suite/Apt# ____________ UPS will not deliver to P.O. boxes City: _________________________________ State: _________ Zip: ______________ Item: ____________________________ Price:__________ Delivery Date: _________ Message & Signature: _______________________________________________________________________ Comments: _______________________________________________________________________ You may make copies of this order form or send us your client list. Fax to: 1-847-836-1909 Call: 1-847-836-5637 or 1-800-34-BASKET ____Visa ____M.C. ____Amex
____Discover ______Check or Money Order Payable
to Baskets of Plenty, Inc. Credit Card #________________________________________ Exp. Date __________ Signature ___________________________________________ Date _______________ Signature Required. Payment is due at time of delivery. Orders over $500.00 require 50% deposit. |