E-mail Address: * First Name * Last Name * Company Name (if applicable) Street Address * City * Province/State * Postal/Zip Code * Phone Number * Alt Phone Number January Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 January Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date February Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 February Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date March Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 March Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date April Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Candy Bouquet $30 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 April Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date May Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 May Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date June Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 June Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date July Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 July Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date August Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 August Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date September Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 September Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date October Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 October Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date November Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 November Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date December Choice Choose Gift Item Gift Basket $60 Gift Basket $80 Gift Basket $100 Candy Bouquet $30 Candy Bouquet $50 Candy Bouquet $65 Cookie Bouquet $48 Cookie Bouquet $56.75 Cookie Bouquet $65 Fresh Baked Cookies (18) $34.50 Fresh Baked Cookies (36) $51 Fresh Baked Cookies (48) $68.50 Fresh Baked Cake $39.50 Popcorn (3.5 Gallon) $48.50 Fresh Fudge (1 lb) $19.50 December Gift-Message on Gift Card (Maximum 20 words) Is this for a special event? ie. birthday, anniversary. If so, please name the event and provide us with the requested delivery date First and Last Name of Recipient * Complete address of Recipient ie. street, apt #, city, state/province, postal/zip code * Phone Number of Recipient * Leave NSR? (excluding apartments, hospitals, colleges, retirement homes and businesses, if no one is home the gift can be left on the porch) Leave NSR? Yes No To help us customize your gift, please tell us who the gift is for ie. man, woman, girl, boy and is it a family member, business associate, friend etc. I understand that shipping and taxes will be added to the above prices. * * Required