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Custom Gift Basket Request
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* Required
Email
*
Your email
When would you like this gift delivered? (Most local deliveries can be scheduled within 72 hours; we will let you know if an earlier delivery is possible)
*
MM
/
DD
/
YYYY
Where is this gift headed?
*
Your answer
What is the occasion?
*
Birthday
Celebratory - Other
Sympathy
Get Well
Housewarming
New Baby
Thank You
Client Gift
Corporate/Staff Appreciation
Other:
Budget (including delivery and gift message/packaging)
$75-$100
$100-150
$150-200
$200-250
$250-350
Option 7
Clear selection
What types of items would you like to include?
*
Beer
Wine
Cheese (and accents)
Charcuterie (and accents)
Prepared Foods
Baked Goods
Chocolate
Coffee
Tea
Candles
Soaps/Bath Salts/Lotion
Flower Bouquet
Other:
Required
Do you know of any allergies, dietary restrictions or preferences?
*
Your answer
Do you know of any taste preferences (adventurous or conservative, sweet tooth or less so, etc)
Your answer
Would you like to include a greeting card?
*
No
Yes - Birthday
Yes - Belated Birthday
Yes - Get Well
Yes - Sympathy
Yes - Anniversary
Yes - Wedding
Yes - Housewarming
Yes - Holiday
Yes - Thank You
Yes - DC
Yes - Patterned
If you would like to include a card, what would you like the interior to say?
Your answer
How can we follow up? Your contact info:
*
Your answer
For local delivery, we'll need a cell number for your recipient:
Your answer
Send me a copy of my responses.
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