GiftLink Wire Service Listing order form for PayPal or Mail-In payments

submit this form online and we will hold your info until payment is received
-or- print this form and mail a copy with your check or money order . . . (2 pages will print)

company name:
your name:
phone # for orders:
state : country
fax number:
toll free number:
list all areas you deliver to:
(include zipcodes and delivery charges applicable to  those areas)
delivery fee:
delivery fee:
delivery fee:
delivery fee:
list additional areas, zips & delivery charges here:

I deliver: (check all that apply)
same day    next day    within 2 days     call to schedule 
where do you ship to: (check all that apply)
only within USA   Canada   international  
payment accepted via: (check all that apply)
check  money order  MC  VISA   AmEX   Discover
type of designs: (list themes/occasions/specialties)
your website URL/address: 
enter code: (if applicable)
Agreement:  I, (print your name) , understand and agree that as a member of GiftLink, I will provide prompt delivery, fill orders at full value, remit payment of 85% of total sale (s), plus applicable delivery charge (s) - (minus wire service fee, which is mine to keep) - to retailer filling my referring order (s) within 20 days.

I understand that by signing this agreement, I must adhere to this agreement and if I should fail to do so, my membership may be evoked. I understand and acknowledge I have read and understand the disclaimer and terms of use of this website:

signature:    date:


MAIL membership (one time) payment of $25.00 (US funds only) to:
BasketMagic  POB 11084  Tacoma, WA 98411