Baskets and Treasures Flower and Gift Shop
209 West Main Street
Williamsburg, Ohio 45176
E-Mail: BTGIFTS@fuse.net Phone: 513-724-9700 Fax: 513-724-9777
Please print this order form, fill out all information,
and include with all mail and fax orders.
| Confirmation to be Mailed To:
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Ship To:
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Customer e-mail: ________________________________ Customer phone: ( )________________________
| Quantity | Item No. | Description | Amount |
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| Payment Method: _____ Check or Money Order payable to: Baskets and Treasures Gift Shop |
Amount Ordered | ||
| Credit Card: ____MasterCard ____Visa ____Discover/Novus ____American Express |
Add 6.5% if shipped to Ohio | ||
Credit Card #: |
Total Order |
Exp. Date: _____/______
Credit Card Signature: _______________________________________
Special Instructions for cards or shipping and/or comments:
(If a gift, please advise the type of occasion and what you want on the gift card.)