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Tasteful Gifts Online
P.O. Box 3035
Chesterfield, VA 23832
804-590-0776
Fax:  804-590-3307
Order Toll Free:  866-590-0776
Email:  info@tastefulgiftsonline.com

FROM:
Name:      __________________________________________________
Address:  __________________________________________________
                __________________________________________________
Phone:      ____________________
Fax:          ____________________
Email:       ____________________

TO:
Name:      __________________________________________________
Address:  __________________________________________________
                __________________________________________________
Phone:      ____________________

GIFT INFO:
Basket Name from Catalog or Website:  ___________________________
Price:  ____________________
Desired Delivery Date and Time:  ________________________________
Message on gift card:  __________________________________________

PAYMENT:
Credit Card Type:  _______________     Billing Zip Code:  _____________
Credit Card Number:  __________________________________________
Expiration Date:  _____________________     CVC Code:  ____________
Name as it appears on card:  _____________________________________

Please let us know how you found us.  ___________________________

THANK YOU FOR YOUR ORDER!