Recipients Name
Recipients Address
Recipients City State Zip Code
Recipients Phone Number

Item # You would like to order
What is the occasion
Any Special Requests
Add ons? None Latex Balloons $1.25 Mylar Balloons $3.50 3.5 oz Bag of Jelly Bellys $1.95 Baby Minky, Bowser or Bamboo Bear $9.95 Minky, Honey, Bowser or Bamboo Bear $13.25 Larger sizes available also - call for prices  
Price?
Delivery Charge (varies by location $4 City or $5 County)
How would you like the enclosure cared signed? 

Delivery Date
Special Delivery Instructions

FROM:
Sender's Name
Address
City State Zip Code
Day Time Phone Number
Email Address

How will you be paying for this? Visa MasterCard American Express Discover Cash Check Money Order House Account
House Account Number

*Delivery charge within the city limits is $ 4.00. County delivery charge is $ 5.00 and Sanford, Auburn and Freeland deliveries are $ 7.00.