Check & Money Order Form

Please print the following form, fill out and send with your payment. PLEASE PRINT

Shipping Information:

To: __________________________________________________

Company (If app.) __________________________________________

Address: ______________________________________________

City State Zip ___________________________________________

Phone (DHL Needs this in case they can't find your location) ________________________

Email Address (for shipment tracking) __________________________________________

Items:

Item No. Description How Many Color

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Special Instructions:

_____________________________________________________________________________

Date Needed By: ____________________________________________

After you have filled out all the items, please call Kat at 352-481-0005 and we will figure out the price and shipping. Or you may also email these item numbers and your address and zip code and we can email you the price of shipping. kathy @ katsbaskets.com

Please make checks or money order payable to:

Kathy Dykes
c/o Kat's Gourmet Gift Baskets
P.O. Box 220
Waldo, FL 32694

Item No.	Description	How Many	Color
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