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CCCU Order Form
This form is to be used for submitting details for a CCCU order only. Details for other orders should be submitted
elsewhere.
*
Indicates required field
Your Name (Lender placing the order)
*
Your Phone (Lender placing the order)
*
Your Email (Lender placing the order)
*
Your Region
*
Northern
Oceanside/Westcoast
Comox Valley
Nanaimo
South
Other (Specify in Notes)
Your Branch
*
Recipient Name
*
Recipient Phone
*
Recipient Address (Please include postal code)
*
Notes or Special Requests (optional)
*
Requested shipment date or date range
*
Gift
*
Breakfast Nook
Gourmet Pantry
Take a Break
Submit
Home
Shop Gift Baskets
Chocolate & Sweets
Seasonal & Holiday
Gourmet & Pantry
Sharing
Spa & Baby
Wine, Bubbles & Brews
Custom Gift Boxes
Corporate
Classic Gift Baskets
All Gift Baskets
Artisans
Story
Packaging
FAQ
Corporate Accounts
Contact