Name

Email Phone

Delivery ($5.00 within Jackson Metropolitan area | $10.00 outside the Jackson Metropolitan area)

Address

Occasion for Gift Date Required

Price Range ($25.00 to $40.00)

Information Regarding Customer(s):

Name Phone

Type of Basket (e.g. Food and Drink)

Special Requests (e.g. Tea vs Coffee | Wine vs Mug | Favorite Items)

Card Message

GGIG's will contact you regarding your Order once the Order Form is received.

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