Billing information

(will not be resold)

Mr. Mrs. Ms.

Name*

Title

Company Name

Address*

Apt./Suite

City*

State/Province*

Postal (Zip) Code*

 Country (if not US)

Area Code/Phone

E-mail*

Fax

Shipping information

(only if different from the above)

Mr. Mrs. Ms.

Name*

Address*

Apt./Suite*

City*

State/Province*

Postal (Zip) Code*

Country (if not US)*

Customize Order

(your information is secure)

 Design Category*

Custom Centerpieces Baskets Galore Birdhouses, etc Hang It Up For the Holidays Candles Design Gallery Other

Design Style Number*

Custom per description below BB1_1001 BB1_1002 BB1_1003 BB1_1004 BB1_1005 BB1_1006 BB1_1020 BB1_1021 BB1_1102 BB1_1103 BB1_1104 BB1_1105 BB1_1106 BB1_1107 BB1_1108 BB1_1109 BB1_1110 BB1_1111 BB2_1007 BB2_1008 BB2_1009 BB2_1201 BB3_1011 BB3_1012 BB3_1013 BB3_1014 BB3_1015 BB3_1016 BB3_1022 BB3_1301 BB3_1303 BB4_1010 BB4_1017 BB4_1018 BB4_1023 BB4_1024 BB4_1025 BB4_1402 BB4_1403 BB4_1404 BB4_1405 BB5_1019 BB5_1501 BB5_1502 BB5_1503 BB5_1504 BB5_1505 BB5_1506 BB5_1507 BB5_1508 BB5_1509 BB5_1510 BB5_1511 BB5_1512 BC1_5003 BC1_5004 BC1_5005 BC1_5013 BC1_5016 BC1_5018 BC1_5019 BC1_5023 BC1_5024 BC1_5025 BC1_5026 BC1_5027 LB2_2004 LB3_2003 LB3_2005

Desired Item (s) Size*

Custom per description below Under 12 inches high Between 13 and 20 inches high Between 21 and 28 inches high Between 29 and 40 inches high Over 40 inches high Item specific size As Pictured

Color Scheme Preference*

Custom per description below As Pictured Spring (Pastel) Winter (Primary) Autumn Elegant Christmas Festive (Gold or Silver) Designer's Choice

Exclude these colors

Custom per description below Yellow Black White Autumn Dramatic Pastels Neon

How many design items in order? Custom per description 1 2 3 4 5 6 7 8 9 10 10+

Shipping Method:

UPS Ground UPS 2nd Day Air UPS Next Day Air Saver UPS 2 Day Air Insured UPS Next Day Air Saver Insured UPS 3 Day Select (residential) UPS 3 Day Select Insured (residential) DHL Standard International

   Add FREE custom notecard

  If the end design colors need to match
  something particular (check all that apply):

General decor

Wallpaper

Furniture

  please provide the location of images

 http://
 http://
 http://

Please provide any additional relevant    information or description of design.

All orders subject to Terms of Sale

YOUR INFORMATION WILL NOT BE RESOLD OR USED FOR TELEMARKETING

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