

PLEASE PRINT MAKE AS MANY COPIES AS NEEDED. FOR QUESTIONS CALL US AT 888 563-6637
TODAY'S DATE __________________________ DELIVERY DATE__________________________
YOUR NAME _______________________________________________________________________________
FROM
ADDRESS __________________________________________________________________________________
CITY/ST/ZIP ________________________________________________________________________________
BUSINESS PHONE ____________________________ HOME PHONE ________________________________
NAME ________________________________________________________________________________________________
TO
ADDRESS _____________________________________________________________________________________________
CITY/ST/ZIP _______________________________________________PHONE______________________________________
AMOUNT $_________________ TYPE: GIFT________ CONDOLENCE ________ GET WELL ____________
CARD TO READ ________________________________________________________________________________________
NAME ________________________________________________________________________________________________
TO
ADDRESS _____________________________________________________________________________________________
CITY/ST/ZIP _______________________________________________PHONE______________________________________
AMOUNT $_________________ TYPE: GIFT________ CONDOLENCE ________ GET WELL ____________
CARD TO READ ________________________________________________________________________________________
NAME ________________________________________________________________________________________________
TO
ADDRESS _____________________________________________________________________________________________
CITY/ST/ZIP _______________________________________________PHONE______________________________________
AMOUNT $_________________ TYPE: GIFT________ CONDOLENCE ________ GET WELL ____________
CARD TO READ ________________________________________________________________________________________
CREDIT CARD AXP____ MC____ VISA____ #___________________________________________________ EXP_______/_______
ORDER ANYTIME BUT OUR DEMAND
IS HIGHEST FROM DECEMBER 10TH TO DECEMBER 23RD. DURING THIS TIME WE TRY TO
SERVE ALL OUR CUSTOMERS BUT IT GETS VERY HECTIC HERE.
TRY TO ORDER EARLY FOR THE
MAKE AS MANY COPIES OF THE ABOVE
ORDER FORM AS NEEDED. PLEASE PRINT
WE WILL ADD DELIVERY FEES AND
TAX ( IF DELIVERED IN NEW
PLEASE TELL US WHEN THE BEST
TIME TO CONTACT YOU IF WE HAVE ANY QUESTIONS.
OUR FAX NUMBER IS 973
627-5838
WE GIVE DISCOUNTS ON LARGE ORDERS AND CORPORATE ORDERS. FOR LARGE ORDERS CALL ONE OF OUR GIFT COORDINATORS AT 973 627-3722 OR 888 563-6637 AND TALK TO US DIRECTLY.
