Print This Page
Unique Gift Baskets
MAIL ORDER FORM

Items with * is required information.

BILLING ADDRESS
Mail Form To:
*Name: Unique Gift Baskets
*Street Address:  
Apt# or P.O. Box: 1379 Lodge Terrace
*City: Deltona, FL 32738
*State:                                         *Zip Code: PH: 407-330-2621  Fax: 407-322-9368
*Area Code:   (     )  Phone Number: __________________
*Email Address: __________________________________
Make  Money Order Payable to:
Kathleen Fearon
SHIPPING ADDRESS
We will gladly ship your order to a different address.  Please enter the address here.  If ship to address is the same, leave this area blank.
Name:
Street Address:                                                                                                         Apt# or P. O. Box:
City:                                                                            State:                          Zip Code:
Product
Number
Product Name
Color
Qty
Unit Price
Total Price
               .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
                 .          .
Florida Residence please add 6% Sales Tax.  Allow 2 - 4 weeks for Domestic Delivery. 
If  Ship To address differs from Florida Billing Address, sales tax is still applicable.
All Orders shipped Priority Mail
Subtotal            .
6% Sales Tax            .
Shipping            .
Total Amount            .
Customer Comments and Special Instructions
 ____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
*Method of Payment

Unique Gift Baskets will only accept Money Orders through our Mail Order Form.

If you would like to pay by MasterCard or Visa credit cards please, use my secured and encrypted on-line ordering system.