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Gift Delivery Form

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Please fill out the form below so we know where and who to delivery your gift.

Please Note: Your gift needs to be paid in advance, for us to pick it up.

If it is impossible to pay for the gift, please call us (239-415-0092) and make other arrangements. Some bakeries do not accept credit cards.
Gift Delivery
All fields marked by * are required.
1. Email Address: *
2. Re-Type Email Address: *
3. First and Last Name: *
4. Gift Delivery Address: *
5. Gate Access: *
  • No
  • Yes
6. If yes, please write it here:
7. City and Zip Code: *
8. Primary Phone Number: *
9. Secondary Phone Number: *
10. Delivery Month: *
11. Delivery Day( No Sunday Deliveries): *
12. Delivery Time: *
13. What is The Gift We Are Picking Up?: *
14. Gift Store Address, City and Zip Code: *
15. Write a Message (Optional):
 
After submitting our gift delivery order form you will be directed to our payment page to pay for our delivery fee.

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Website Updated On March 9, 2010
Fort Myers, Florida, 33919 | 239-415-0092

All credit card payments will go under our Grocery Delivery Service PayPal Account.
You do not need a PayPal account to use our service.

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