*GIFT BASKET ORDER FORM*
Please copy & paste the gift basket
order form below
into the body of an email and email it
to us at
puppystork@pathway.net
Please allow 1-2 weeks for delivery
for delivery of items purchased as gifts
* * * * * THE GIFT BASKET ORDER FORM BEGINS
HERE * * * * *
Purchaser's Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone:
Will you be picking
your order up here?
Do you need this
order shipped?
If yes....Please
post name & address of recipient below
Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone:
Occasion:
Gift Card Message
Preferred Delivery
Date
Is the gift basket
for a male puppy or a female puppy?
Please list all
items you are ordering to be included in your gift basket.
Please state quantity
of each item wanted, personalization,
size, style &
color if applicable & price of each item below
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Please list additional
items here.....
+ Shipping Charge
Please add 6% tax
if shipping within PA
Are you paying through paypal or mailing
a check?
Are you using a Stork Dollar Voucher with
this purchase?
If yes, what is the amount to be deducted
from your total?
Special Instructions,
Comments or Questions:
* * * * * THE ORDER FORM ENDS HERE * *
* * *
The shipping charges are as follows:
$1.00-$24.99....$6.50
$25.00 - $49.99....$9.00
$50.00 - $74.99....$12.50
$75.00 - $99.99....$14.50
*All orders that total $100.00 or more...
Add $2.00 additional for each $25.00
increment
PA residents please add 6% sales tax
We accept payment
through paypal.com
Our email address
at paypal is
puppystork@pathway.net
You may also mail
a check.
Checks are to be
made
payable to Puppy
Stork.
Orders will not
be shipped until the check clears.
Please mail your
payment to:
Puppy Stork
662 Plain Grove
Road
Slippery Rock,
Pa 16057
Personal
Order Form
Free Gift
Basket Fixins'
Toys
For Puppy
Grooming
& Spa Items
Personalized
Bandanas
Fuzzy
Friends Car Seats
Cookies
& Birthday Platters
Collars
& Leashes,& More
Breeder
Directory & Classifieds
Cuddlespice
Cockapoos
Puppy
Stork's Home Page