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ORDERED BY:
Your Name:
Email address:
Your Current Phone Number:
Alternate Phone Number (for confirmation call):
Address:
Apt, Floor, or Suite Number
City:
State: Zip:
Recipients Name:
Recipients Phone Number:
Recipients Deliver/Ship to Address:
Apt, Floor, Suite # Business or Residence:
City:
State: Zip:
BASKET ORDER
Name of Desired Basket: (Other designs available on request)
Other Design:
Occasion:
This gift is for a:
The recipient is a:
Your relationship to recipient:
(used for appropriateness of gift design)
Desired Price Range:
Recipients likes/dislikes: (hobbies, etc.)
Gift Card Message:
This basket should be:
Date to be delivered by: Month
Day
To ensure your gift will arrive on time, please
allow more time for delivery during high volume holiday seasons.
We will email your UPS groundtrack number to you.
How did you hear about us:
Click here to
request additional information.
We accept
& Discover Card
Shipping/Delivery Costs:
Shipping rates are based on weight and location, while delivery is based upon distance. Upon receiving your order
confirmation call, your sales representative will give the pricing for delivery or shipping costs. UPS will not
ship to PO Box addresses.
*Please note that most orders will
ship within 24 hours of placing your order. If there will be a significant delay, a sales representative will contact
you.
Thank you for ordering
from HodgePodge, Etc.
Don't forget to bookmark this site.
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