Custom Order Request Form
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It's time to relax and leave the gifting to us.
Please complete and submit the form for processing. We will contact you if we need additional information.

Should you require further assistance, feel free to call 330-348-7604 or an email us at info@creativegiftbasketdesigns.com!

*Note: This is a preliminary order form. An invoice will be sent with the order total for payment submission.
             Payment must be made in full for all orders prior to processing.

Customer Information
First & Last Name *
Phone Number *
Email Address *
Recipient Information
For the "Preferences" line, please let us know what items/products you believe the recipient would appreciate, known allergies as well as their favorite hobby or color. We will use the details as a source of reference to embellish their gift.
First & Last Name *
Age *
Gender *
Delivery Address (address, city, state, zip) *
Gift Item Preferences *
Gift Details
Requested Delivery Date *
MM
/
DD
/
YYYY
Occasion/Holiday *
Desired Budget *
Quantity *
Type *
Card Message
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