BASKET INFORMATION (PLEASE FILL OUT COMPLETELY)
Receiving Person Information
Name:
  Address:
  Phone:
 
Date Required:
 (allow 36-72 hr. notice)
  Fullfillment Information: (select one) Pick-up  Mail ($35.00 charge)
Delivery (15.00 charge 15 mile radius) Male Female
  Enclosure Card Wording:
Basket Size and Contents Size: Small $27.99 (choose 4 Items)
Medium $42.99 (choos 5 Items)
Large $57.99 (choose 6 Items)
X-Large $75.99 (choose 7 Items)
(Baskets will include Misc. Snaks to round them out.)

Contents:

ITEMS MARKED WITH A (*) Add $15.00

Cheese Crackers Cheeseboard*
Cheese Knives* Cookies Biscuits
Choc. Spoons Bottle of Flavor Meat
Pretzels Nuts Fruit Napkins
Hard Candy Chocolate Sugar Free
Wine (18 yrs. and older) Wine Opener
Wine Glasses* (2) Coffee/Tea Mugs* (2)
Book* Body Wash Body Lotion
Body Spray Body Scrubber Candles
Pancake Mix Bacon Maple Syrup
Fruit Preserves
Choc. Covered Espresso Beans Hot Cocoa
Tea Creamer Coffee Regular
Coffee Decaf. Coffee Flavored

FORGET IT!
PICK STUFF FOR ME 		  I wish for you to create the basket based on your choices and I want you to do this for me.
Special Item (Add $10.00)
   Please put this special Item in my basket:
Description:
Your Information:
(Paying Customer) 		Name:
  Address:
  Phone:
  Email:
  Preferred Method of payment: Check in store:
Cash in store:
Credit Card by phone:
Credit Card in store:
     
 
WE PROUDLY ACCEPT:

 

 

   

Serenity Espresso House
2411 S. McCall Road  Englewood, FL
(941) 475-2813 Email: siggins-town@juno.com