Name *

First Name

Last Name

Phone *

(###)

###

####

Which best describes your gift giving occasion? *

Please choose one or more options

Employee Appreciation

New Hire

Administrative Professionals' Day

Work Anniversary

Birthday

Get Well

Conference Attendee Gifts

Board Gifts

Client Gifts

Business Partner Gifts

Other

When would you like your boxes delivered? *

MM

DD

YYYY

Would you like to customize your boxes by *

Choosing the theme and type of products that are included in the boxes

Including your organization's branded swag in the boxes (branded swag must be provided to H&G)

Designing the outside of the boxes with your logo and design

How would you like H&G to fulfill your order? *

Ship a box to each recipient

Send all boxes to you in one bulk shipment

Hand deliver to each recipient (available in KC metro only)

Hand deliver all boxes to your location (available in KC metro only)