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GIFT BASKET GLOBAL NETWORK ORDER FORM

Your Name:__________________________________________                  

Business Name: _____________________________________

Phone Number:___________________Toll Free Number: ___________________

Hours of Operation: _________________________________________________

Delivery Info & Pricing: ____________________________________________

Fax Number: ___________________  Email: _____________________________

Website Homepage: ___________________________________________________


Specialty Baskets: __________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Additional Company Info: ____________________________________________

_____________________________________________________________________

_____________________________________________________________________

Payment enclosed of 25.00 for lifetime listing on BasketMagic
website http://members.tripod.com/~basketmagic/globaln.html. SITE TITLE: Gift Basket Global Network AMOUNT enclosed: ____________(US funds-Check or Money Order accepted) Should BasketMagic's website address change, you will be
notified within 3 days. You are responsible for updating BasketMagic, via email, with any informational changes within your business that would affect your listing. (phone, fax, product, website, email, etc)

BasketMagic

basketmagic@hotmail.com
POB 11084 Tacoma, WA 98411
United States


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