ORDER FORM

A receipt will be placed in your box along with your order.

ITEM NUMBERS:

Item Number or Name you are Ordering
(i.e. BEA04)

How Many

Item #2

How Many

Color of Each Item
(i.e. pink, blue, yellow)

BILLING INFORMATION

Name As It Appears on Your Credit Card

Company (If Applicable)

Address (Must be Same as Credit Card Billing)

City

State

Zip

Phone (DHL requires this for shipping)

Type of Credit Card (Visa, MasterCard, American Express, Discover)

Credit Card Numver

Expiration Date

E-Mail

SHIPPING INFORMATION:

Name to be shipped to

Company (If Applicable)

Address

City

State

Zip

COMMENTS OR SPECIAL INSTRUCTIONS

Please Select the Date You would like this to be delivered

Please Write your Gift Card Information if applicable

Comments Regarding Your Order

By selecting the SUBMIT button below, I agree to have my credit card charged and to purchase the items indicated on this Order Form





Thank you for shopping at Kat's Gourmet Gift Baskets and "A Perfect Baby Shower". We will email you a receipt as soon as we ship your order.