
PO Box 691964
Stockton, CA 95269-1964
Call (209) 476-0450 or Fax: (209) 476-8610
www.basketcaravan.com or email basketcaravan@sbcglobal.net
For your convenience, print out this order form to plan
your gift giving.
Then phone, fax or mail your order to us. Please print
clearly!

Your
Name___________________________________________________________
Company
Name_______________________________________________________
Billing Address__________________________________________
Apt/Unit___________
City______________________________ State__________
Zip_________________
Phone (______)______________________
Fax(_____)_______________________
E-mail
Address_______________________________________________________

Please send my gifts to the
following:
Gift #1
Recipient's
Name______________________________________________________
Address___________________________________________
Apt/Unit__________
City_______________________________ State_________
Zip________________
Phone (_____)________________________ Gift Arrival
Date__________________
Basket Name
________________________________________________________
Quantity___________ Unit Price $__________________ Total
$________________
Message/Greeting_____________________________________________________
___________________________________________________________________

Gift #2
Recipient's
Name______________________________________________________
Address___________________________________________
Apt/Unit__________
City_______________________________ State_________
Zip________________
Phone (_____)________________________ Gift Arrival
Date__________________
Basket Name
________________________________________________________
Quantity___________ Unit Price $__________________ Total
$________________
Message/Greeting_____________________________________________________
___________________________________________________________________

Merchandise
Total = ______________
Add Sales Tax* = ______________
Shipping Charges = ______________
ORDER TOTAL = ______________

Payment Method: (Check One)
___ American Express
___ Mastercard
___ Visa
___ Check / Money order enclosed
Card Number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___
_
CVV# ______ (from back of card) Expiration Date
_____/_____/__________
Name of Cardholder (Please
print)____________________________________
Signature___________________________________
Date__________________
1

Food
items are non-taxable.
Shipping charges are not included in the prices
shown. Charges are determined by size of package and
distance shipped. Please call toll-free for shipping
charges.
Order by phone: Call (209) 476-0450
Order by fax: Call for shipping charges and fax to
(209) 476-8610
Order by mail: Call for shipping charges and return
the completed form with payment.
Multiple orders: Feel free to photocopy our order
form or attach letterhead if you need more room.
Shipping / Delivery options: Order are shipped via Fed Ex ground service.
Fed Ex & USPS overnight delivery
is available, but very costly! Please order early to
avoid expedited charges. We ship worldwide.
Thank you! We
welcome your business.
Questions?
Phone us at (209) 476-0450 (9-5PM,
PST) or e-mail basketcaravan@sbcglobal.net
© 1999
Basket Caravan, All Rights Reserved.
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