| Personal Information: |
| First Name:
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| Last Name:
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Street Address (Line 1):
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| Street Address (Line 2):
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| City:
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| State/Province:
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| ZIP/Postal Code:
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| Country:
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| Telephone:
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| Thinking about getting a
website or redesigning your existing one?
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| Would you like to receive information regarding
OGB's Web Design Packages?
Yes
No |
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| Business Partner Information (If Applicable): |
| First Name:
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| Last Name:
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| Street Address (Line 1):
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| Street Address (Line 2):
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| City:
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| State/Province:
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| ZIP/Postal Code:
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| Country:
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| Telephone:
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| Business Information: |
| Business Name:
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| Incorporated :
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| Street Address (Line 1):
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| Street Address (Line 2):
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| City:
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| State/Province:
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| ZIP/Postal Code:
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| Country:
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| Telephone:
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| Fax:
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| Cellular:
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| E-mail Address:
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| Website Address:
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| GST Registration # (Canada & Australia
Only):
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| Business Started (Year/Month):
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| Operates:
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| Operates:
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| Days of Operation:
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| Hours of Operation:
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| Local Delivery Charge:
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| Cutoff Time For Same Day Delivery (in your city): |
| Credit Cards Accepted (Check
all that apply):
VISA
Mastercard
Amex
Discover
NONE |
| Do you have a Paypal account?
Yes
No |
| What is your password preference
for our "Member's Only" Area? |
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| Please Choose A
Membership Option: |
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Primary Location Under 10,000
People |
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Primary Location Over 10,000 People |
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| Please Choose A
Web Hosting Package (Optional - Read More About Them Here): |
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|
"Business Standard" ($13.35/month to Dec. 1) - Save
20% On Your Membership! |
|
"Ecommerce Standard" ($19.95/month to Dec.
1) - Save 33% On Your Membership! |
| "Ecommerce Premium" ($28.95/month to Dec.
1) - Save 50% On Your Membership! |
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| In addition to my "Primary" Location
(that's the city of your physical location), I would like to represent
the following
"Secondary" Communites (click here for
expanation of secondary community) to which I also provide same business
day, hand delivery. |
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Secondary
Location |
Cut Off Time
For
Same Day Delivery |
Delivery Charge |
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$
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$
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$
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$
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$
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$
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$
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$
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$
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$
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| Which types of baskets can
you provide (usually) from your existing inventory (check all that apply): |
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Baby |
Pamper |
Fruit |
Gourmet Food |
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Regular Snack |
Candy |
Chocolate |
Coffee |
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Pasta |
BBQ |
Kosher |
Toys |
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Balloons |
Magazines |
Crossword Puzzles |
Gourmet Snack |
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Tea |
Plush Toys |
Adult Novelty |
Other
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| Which types of baskets can
you provide (usually) by out-purchasing the needed products (check all
that apply): |
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Baby |
Pamper |
Fruit |
Gourmet Food |
|
Regular Snack |
Candy |
Chocolate |
Coffee |
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Pasta |
BBQ |
Kosher |
Toys |
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Balloons |
Magazines |
Crossword Puzzles |
Gourmet Snack |
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Tea |
Plush Toys |
Adult Novelty |
Other
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| Do you stock theme containers?
(i.e. golf, new home, thanks a million, etc.):
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| We can include alcohol (please check one): |
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Yes, I maintain an inventory |
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Yes, I wil out-purchase for a small service charge |
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Yes, I will pick it up for a small service charge,
but only if I don't have to buy it |
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No, I will not at all |
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| Please include any additional information on
baskets you offer here:
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| Permissions to Online
Gift Baskets (Please choose one): |
I authorize Online Gift Baskets to select and
copy of those gift baskets on my website so as to use them exclusively
for jury purposes and ultimately for the production and uploading of my
Member Product Web Page upon my approval and acceptance for Membership
in Online Gift Baskets.
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As I do not have an internet website, I will
submit scanned photos, with descriptions and prices, by e-mail to Online
Gift Baskets and accordingly, I authorize Online Gift Baskets to use them
exclusively for jury purposes and ultimately for the production and uploading
of my Member Product Web Page upon my approval and acceptance for Membership
in Online Gift Baskets.
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Please contact me with regular mailing instructions
and I will forward photos, with their descriptions and prices, by regular
mail to Online Gift Baskets and accordingly, I authorize Online Gift Baskets
to use them exclusively for jury purposes and ultimately for production
and uploading of my Member Product Web Page. I realize that there will
be a charge for scanning these materials of (CDN) $12.00 and that
such charge will be added to my Membership fee upon my approval and acceptance
for Membership in Online Gift Baskets. |
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