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FAX ORDER FORM
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!
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