Gift Basket Order Form

Pies&Plates Gift Basket Order Form For delivery you must place a minimum order of $75 and a $10 delivery fee will be added to your bill. We deliver only in Punta Gorda & Port Charlotte. Call 505-7437 if you have questions! Shipping Available! Pies & Plates, 2310 Tamiami Trail, Ste. 3117, Punta Gorda, Florida 33950 www.piesandplates.com
Your First Name
Your Last Name
Name of Business
Phone Number
Your E-mail Address
Your Street Address
Your City
Your State
Your Zip Code
Date & Time you plan to pick up the basket
Amount You Want To Spend on Basket before tax
Theme or Occassion




Please tell us what types of products you want in your basket or what type of things the recipients likes. Ex. coffee, wine, specialty foods, kitchen tools, sweet tooth, chocoholic, etc.

Tell us any other information we should know. Ex. if you want to include a card what do you want it to say. If you want us to mail it, include a complete mailing addresss. Any other info that will help us serve you better?
Type of Credit Card

Credit Card Number
Enter Credit Card Expiration Date	Enter Credit Card Security Code







Add me to Your E-Mail List If you wish to print a copy of this form, do so before submitting. To print copy: On tool bar select File, Print, etc.

You will receive a confirmation by e-mail when your registration has been processed. If you don't receive an email confirmation by the end of the next business day, please call us at 505-PIES to confirm your registration!