The Basket Gift Order Form P.O. Box 338, Sterling, MA 01564 Phone: 1-978-563 1215 Fax: 1-978- 563 1210 www.thebasketgift.com
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Date
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Purchase Order #
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Contact Name
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E-mail
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Customer Billing Information
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Shipping Information
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Name:
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Name:
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Company
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Company
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Address
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Address
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City, State, Zip
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City, State, Zip
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Phone #
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Phone #
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Cell #
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Cell #
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Credit Card Type (Visa, M/C, Amex, Discover)
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Cardholder Name (please type or print clearly)
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Credit Card #
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Cardholder Signature
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Expiration Date:
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How did you hear about us?
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Message on Card:
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Do you wish to join our mailing list for our news and offers? [ ]Yes [ ]No
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Other Instructions:
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OPTION (COLOR,SIZE) |
PRODUCT NAME/Item Number |
UNIT PRICE |
TOTAL |
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Subtotal |
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Discount (if applicable) |
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Sales Tax(MA add 5%) |
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Shipping & Handling |
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· Single basket orders are usually shipped out the next business day. All orders are shipped ground unless otherwise requested. We ship using UPS, FEDEX, or USPS. Overnight or 2nd day air deliveries are also available. Please contact us for a price quote. Orders made on Saturday and Sunday are shipped on Monday (please make exceptions for holidays). · If you are mailing your order, please include your filled out order form with your check, money order or your credit card information. Orders by check are shipped when the check clears our bank. Returned checks will be charged a $25.00 service charge. Please make checks payable to: The Basket Gift
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