Print out the order form below and mail with a check or 

                     money order made payable to:

MAIL:          Niftie Gifties

                      341 Somerville Plaza

                 Tonawanda, NY 14150 (check or money order)
PHONE:       1-716-604-0000

Ship To:

Name:_______________________________________

Address:______________________________________

Address2:____________________________________

City:_________________________________________

State _______________Zip Code____________

Phone:_________________________________

Email: ____________________________________

Products:

#001 Diabetic Chocolate Basket    $19.00  X  Qty____ =   Total___________

#002 Thanks-A-Million Basket      $19.00  X Qty____ =   Total___________

#003 Lover's Basket                      $16.00  X Qty____ =   Total___________

#004 Movie Night Basket              $25.00  X Qty____ =   Total___________

#005 Lottery Birthday Hat             $15.00  X Qty____ =   Total___________

#006 King/Queen for a day            $15.00  X Qty____ =   Total___________

#007 Diabetic Sampler                  $8.40     X Qty____ =   Total___________

#008 Diabetic 3-pack                    $25.00  X Qty____ =   Total___________

                          Total Check or Money Order $______________