This is a SECURE ENCRYPTED TRANSACTION order form.
Valued customer: Sometimes waiting on "net" connections takes longer than waiting in line at the deli counter. PLEASE phone in your order at 954-989-3338 or 800-713-7701 if this form does not submit in a timely fashion or if you experience trouble as an AOL user. You may also print the form and fax it to us at 954-989-3331.
If you are calling in your credit card, try to submit the greeting information via the form first as it helps avoid typographical errors. If you are routed through the phone service, don't worry, calls are returned within minutes.
Cybercalifragilistic always sends a receipt and confirmation notice.

Choose your Special Occasion Page then fill in the personal information in the spaces below. For special requests use the comment area provided at the end of this form.


Select a Birthday Greeting:

Select Anniversary or Romance Greeting:



Miscellaneous Greetings, Mom, Friendship, Thanks:


Please enter the DATE you wish the Gift Greeting Page to START.


Please enter the LUCKY PERSON'S/CHILD'S NAME for the Gift Web Greeting address.
An example: John_Smith.html.


Please enter the LUCKY PERSON'S NAME as you would like it to appear in the greeting.
For example: Dear Whom.


Please enter YOUR NAME as you would like it to appear in the greeting.
For example: Love (or whatever), Your name.


Please enter the LUCKY PERSON'S/PARENT'S e-mail address so we may inform them of your gift:


Please enter the LUCKY PERSON'S AGE if you are choosing a design which requires this:


Please enter YOUR NAME AND E-MAIL address so we may confirm the order and send a receipt:

Use this space to enter your own message for Mr. CompuPotato;
or your special message for the Love Letter Greeting.
For Birth Announcment Websites type the Baby's Name, birth date,
weight, name of the parents as shown on the sample greeting.
Tell us how you will be sending a photo.


Credit Card holder's Name if different than
person placing order:

Address including street, state, country and postal code.
Note:Type the address where your credit card is billed.


Your E-mail address one more time to verify order:


Telephone to verify order:

Purchase Total $14.95, $24.95 (Guestbook), $34.95 (Just Audio)
$44.95 (The works-audio and guestbook links)

The add on I have chosen is:
Singing Website
Florida Residents add 6% Sales Tax
Sales tax will be .90 (14.95), $1.50 (24.95),
$2.10($34.95), or $2.70 ($44.95)

Order Total

Would you be interested in joining our Greeting Club to receive discounts on multiple purchases?
Yes No

Credit Card Information:

Card Type:
(Note: when entering card number use dashes or spaces between groups of numbers, e.g. 1234-5678-9012-3456 and read it over for errors)

For payment via check or money order (Mail check payable to Cybercalifragilistic Gifts at: Cybercalifragilistic Gifts, 4741 Sarazen Drive, Hollywood, FL 33021 USA. Page will be created upon receipt of payment.)

Card No - Please read over your entry for typographical errors:
Expiration Date (mm/yr):
Name Appearing on Card:

Tell us how you found out about Cybercalifragilistic and/or your comments?


Valued customer: Sometimes waiting on "net" connections takes longer than waiting on line at the deli counter. PLEASE phone in your order at 954-989-3338 or 800-713-7701 if this form does not submit in a timely fashion or if you need 2-4 hour turn around. You may also print the form and fax it to us at 954-989-3331. Thank you.

Return to Cybercalifragilistic Home Page


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