PO Box 691964
Stockton, CA 95269-1964
Call (209) 476-0450 or Fax: (209) 476-8610
www.basketcaravan.com or email basketcaravan@gmail.com
For your convenience, print out this order form to plan your gift giving.
Then phone, fax or mail your order to us. Please print clearly!

Your Name___________________________________________________________

Company Name_______________________________________________________

Billing Address__________________________________________ Apt/Unit___________

City______________________________ State__________ Zip_________________

Phone (______)______________________ Fax(_____)_______________________

E-mail Address_______________________________________________________

Please send my gifts to the following:

Gift #1

Recipient's Name______________________________________________________

Address___________________________________________ Apt/Unit__________

City_______________________________ State_________ Zip________________

Phone (_____)________________________ Gift Arrival Date__________________

Basket Name ________________________________________________________

Quantity___________ Unit Price $__________________ Total $________________

Message/Greeting_____________________________________________________

___________________________________________________________________


Gift #2

Recipient's Name______________________________________________________

Address___________________________________________ Apt/Unit__________

City_______________________________ State_________ Zip________________

Phone (_____)________________________ Gift Arrival Date__________________

Basket Name ________________________________________________________

Quantity___________ Unit Price $__________________ Total $________________

Message/Greeting_____________________________________________________

___________________________________________________________________

Merchandise Total = ______________

Add Sales Tax* = ______________

Shipping Charges = ______________

ORDER TOTAL = ______________



Payment Method: (Check One)

___ American Express
___ Mastercard
___ Visa
___ Check / Money order enclosed

Card Number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
_
CVV# ______ (from back of card) Expiration Date _____/_____/__________

Name of Cardholder (Please print)____________________________________
Signature___________________________________ Date__________________
1


 Food items are non-taxable.

Shipping charges are not included in the prices shown. Charges are determined by size of package and distance shipped. Please call toll-free for shipping charges.

Order by phone: Call (209) 476-0450
Order by fax: Call for shipping charges and fax to (209) 476-8610
Order by mail: Call for shipping charges and return the completed form with payment.

Multiple orders: Feel free to photocopy our order form or attach letterhead if you need more room.

Shipping / Delivery options: Order are shipped via Fed Ex ground service. Fed Ex  & USPS overnight delivery is available, but very costly! Please order early to avoid expedited charges. We ship worldwide.


Thank you! We welcome your business.

Questions? Phone us at  (209) 476-0450 (9-5PM, PST) or e-mail basketcaravan@gmail.com

1999 Basket Caravan, All Rights Reserved.