Kids Gifts and More Email & Fax Order Form

**PLEASE USE ONE FORM FOR EACH DELIVERY ADDRESS -TO PRINT AND FAX THIS FORM, FAX TO: 1-877-288-3236

E-mail Address: *
Select One: *
BILLING: Company Name
Name of contact or person placing order *
Address: *
City, State, Zip *
Phone: *
Fax:
Cell:
Your PO# for this order (if you need one):
Check one: *
If using a charge number, we will call you for the number. What number shall we call you at?
Item Name:
Item number or SKU#:
If for a baby, what is babys name (make sure you are positive of spelling):
If for a baby, approx. date or month born?
(Optional) Is there a date that this package MUST be delivered on?
Comments/Special Instructions:
GIFT CARD MESSAGE:
SHIP TO: Name *
SHIP TO: Address *
SHIP TO: City, State, Zip *
SHIP TO: Phone: (Mandatory for all shipments & Deliveries) *
****Before you submit, please double check your entries for accuracy. Make sure that any field marked with a red asterisk is filled in as they are mandatory fields.**

* Required