Ordered by

Name____________________________________
Address__________________________________
City/State/Zip______________________________
Daytime phone(___)________________________
    (In case there's a question about your order)





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                                                                                                          Order Total____________
                                                                                   NC residents add 7% tax   ____________
                                                                 
                                                                       Shipping and Insurance(see below)____________
                                                                                                                    Total____________
Gypsy Baskets
Order Form
Send with remittance to: Gypsy Baskets, 8962 Stoneridge Place, Montgomery, AL 36117.

To order, print, complete and mail form with money order or check payable to Gypsy Baskets.  You may also order via e-mail to jenny@gypsybaskets.com


Ship to (if different than ordered by)

Name_________________________________
Address_______________________________
CityState/Zip___________________________
Gift card?  Yes/No
To:___________________________________
From:_________________________________
Message______________________________
______________________________________
(Receipt will be sent to ordering address.)
Item                                              Accent Color            Finish           Qty        Cost       Total
Shipping and Insurance charges:  Orders are shipped UPS unless otherwise requested.  For alternate or rush delivery, please e-mail or call for information.

                             Order total     Shipping fee
                                  up to $20.00        $4.05
                                 $21.00-25.00          7.00
                                   25.00-35.00        10.00
                                   36.00-55.00        15.00
                                   56.00-75.00        18.00
                                  76.00-120.00       23.00
                                121.00-200.00       35.00
                                201.00-325.00       45.00                

            *For custom orders and orders over $325, please contact me for shipping charges.*
Thank you for your order!  If you are not completely satisfied with your purchase, return it in original condition within 14 days for replacement, credit, or refund.
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Unless otherwise indicated, baskets will be made as pictured.
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