ORDER FORM

Your credit card will NOT be charged until we are ready to ship your items.

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

ITEM NUMBERS:

Item Number or Name you are Ordering
(i.e. W701)

How Many

Color of Each Item

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 (UPS 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 (Allow 10 days)

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".