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Order Form
*
Indicates required field
Name of Recipient
*
First
Last
Who is getting the delivery this time? You can choose the receiver for each delivery, or keep it set to one person.
Recipient Address
*
Line 1
Line 2
City
State
Zip Code
Country
Type of subscription
*
Sweet Josephine $39
John Wesley $55
Sammy James $69
Frequency
*
Weekly
Bi-weekly
Monthly
Bi-Monthly
Payment required to be paid in full per every two months.
Purchasers Email
*
This is your email, or person purchasing subscription. I will send invoices, receipts and delivery confirmations here.
Purchasers Phone Number
*
How would you like to pay?
*
Cash
Venmo
Credit
Payment is due monthly. Subscriptions will start the following week after purchasing. Fees are added on for credit card processing.
Anything special I should know?
*
Likes/dislikes/allergies/colors
Attach a card?
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What should it read?
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