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THE BASKET SHOP
TODAY's BASKET ... TOMORROW's COLLECTIBLE
Robert Haygens
27928 US HWY 331
Opp, AL 36467
877-780-5099

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Printable Order Form
|____Item #_____|___Qty___|____Price $____|Total Price $______|
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|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
|______________|_________|_______________|________________|
GIFT CERTIFICATE $______________
Shipping / Handling Charges Subtotal$______________
Amount of Sale Shipping/Handling AL 8% tax$_______________
Shipping & Handling$_______________
$ 20.00 - $175.00 $ 14.00 Total$_______________
$175.01 - & over FREE
-Above rates are for Continental United States. All others please
inquire for the latest quote.
-Do not include Tax or S/H charges on any Gift Certificate purchases.
Please make checks or money order payable in U.S. Funds to Robert Haygens
Ordered By:
Name:______________________________ Address:____________________________
City:_______________________________ State:____________
Zip Code:__________ Country:____________________________
E-Mail:_____________________________ Telephone:__________________________
Address Baskets are to be shipped to if
different from above:
Name:______________________________ Address:____________________________
City:_______________________________ State:____________
Zip Code:__________ Country:____________________________
More Info Below 
| Thank You For Your Order!!! |
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ORDERING INFORMATION
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