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To *

Recipient's name

First Name

Last Name

Delivery date *

Reminder: Your delivery date/time will be confirmed only after we finalize your order via email

MM

DD

YYYY

Recipient's phone number *

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Delivery address *

$15 delivery fee for areas <10 miles outside of 90020 radius $25 delivery fee for areas 11 - 20 miles outside of 90020 radius Delivery time & final cost to be determined once delivery address is confirmed

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

From *

Your name

First Name

Last Name

Your phone number *

(###)

###

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