ITHE BLUEBERRY STORE GIFT ORDERS
Name ___________________________________________________________________________ Address __________________________________________________________________________ ________________________________________________________________________________ City ____________________________________________________________________________ State/Zip ________________________________________________________________________ Phone Number ___________________________________________________________________ Message (on card) _________________________________________________________________
Apartment/Suite #
________________________________________________________________________________ ________________________________________________________________________________ Requested ship arrival date ___/___/____
*We will do our best to get the order delivered around specifi ed time where possible
ITEM CODE DESCRIPTION QTY PRICE TOTAL
f you need more space or have additional orders, please attach a separate sheet of paper.
SHIPPING TOTAL FOR THIS GIFT ORDER
Name ___________________________________________________________________________ Address __________________________________________________________________________ ________________________________________________________________________________ City ____________________________________________________________________________ State/Zip ________________________________________________________________________ Phone Number ___________________________________________________________________ Message (on card) _________________________________________________________________
Apartment/Suite #
________________________________________________________________________________ ________________________________________________________________________________ Requested ship arrival date ___/___/____ ITEM CODE
*We will do our best to get the order delivered around specifi ed time where possible
DESCRIPTION QTY PRICE TOTAL
SHIPPING TOTAL FOR THIS GIFT ORDER
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