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Basket Sizes --Small $30 (+ $8 S/H)Large $60 (+ $10 S/H)

Specialty Baskets --Small Tea $30 (+$5 S/H)Large Tea $45 (+ $6 S/H)

Coffee Subscription --3 month $60 (+ $15 S/H)6 month $120 (+ $30 S/H)9 month $180 (+ $45 S/H

Jolt Regulation ! regulardecafboth

Holiday/Occasion --BirthdayThank YouCongratulationsBack To SchoolCorporateHousewarmingHealthyOrganicBaby GirlBaby Girl-non coffeeBaby BoyBaby Boy-non coffeeAnniversaryWeddingPerk UpJust BecauseGet WellSympathyApologyChristmasHanukkahMothers DayFathers DayNew YearsValentinesNaughty ValentinesEasterThanksgivingHalloweenSt. PattysJuly 4th

Add Music --Jenn London $10Bryan Wells $10Stark $10Laura Berman $10Torture Sermon EP $5Jenn London EP $5

Recipient Hobbies if known

Gift Message

Recipient Name/Address/Phone (we can not ship to a PO Box)

Senders Name/Address

Senders Email

VisaMastercardAm-ExDiscover

Cardholder Name

Card Number

Expiration Date

Security Code

Coupon Code

Expedited Shipping Options --Fed-Ex 2 day (+ $25)Fed-Ex Overnight (+ $40)

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Comments/Instructions

*Sales tax will be added to orders shipped to a NY State address
**Please allow 3-5 days for delivery via Fed-Ex ground shipping