form

                                         Keepsake Bridal Baskets
                                                   Order Form

Name:
Address:
City:                                                      State:             Zip:
Phone Number: (          )
Date of Wedding:

Basket Style Requested:

Basket Style                        Quantity
Traditional                           _______
Victorian                             ________
Country Sunshine                ________
Big Red Basket                   ________
Flowergirl Basket                ________

Or, if you prefer a customized basket to match your wedding colors, please provide a description of your colors:




Method of Payment:

Personal Check enclosed:   ________
Money Order enclosed:      ________

Mail form to:
Keepsake Bridal Basket
P.O. Box 57432
Lincoln, NE 68505

All orders are shipped within 48 hours of receipt of order & payment. If you are ordering a customized basket, please allow extra time for assembly.

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