Hilltop Gifts, LLC
“The Gift Specialists”

 Providing quality products for all of your gift giving needs

 

 

Custom Order Form

For your convenience we now offer secure ordering online via PayPal, please see our Product List for the gifts that are available through our online shopping cart. However if you wish to have a more personalized custom gift basket made, please fill out the form below and we will contact you concerning pricing and options to personalize your gift. 

Fill out and send this form and we will call you at the number you provide to discuss the specific details of your order.

Name:   
Address:
City: State: Zip:
Phone: Cell:  
Email:
Recipient:   
Address:   
City: State: Zip:
Phone: Cell:    
Occasion:
Type of Basket/Container: 
Message:
Date of Delivery:
Dietary Restrictions: 
Special Requests:   
 

 

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