Gift Registration Form

Gift Registration Form
Please complete this form and submit if you would like us to help you remember all your gift-giving dates...birthdays, anniversaries, holidays, wedding dates, engagement dates and more! All items marked with a "*" are required. We'll email you a reminder notice and give you suggestions on what we have to offer for gift-giving for that special occassion. Then, simply place your order with us on-line, and we'll take care of the rest! :) Our service is "worry free" for you!
**All information you provide is kept strictly confidential. We do NOT share information with anyone outside our business.**

Your Name*:
Your Address*:
City*: State*:
Zip*: Phone (are code first)*:
Your Email*: ~Please notify us if your email address changes.
Remind me of the following loved ones/friends events:
Their Name: Date:
Their Name: Date:
Their Name: Date:
Their Name: Date:
Their Name: Date:
If additional space is required, please submit another form. Thanks! :)
How many days in advance would you like us to remind you of these events?*
*Please allow ample time to place your order and have gift shipped in time to arrive for the special date. :)