Santa Visit Order Form
FIRST NAME:
LAST NAME:
STREET ADDRESS:
APT:
CITY:
--Select City--
---ANOKA---
Coon Rapids
---DAKOTA---
Apple Valley
Burnsville
Eagan
Farmington
Inver Grove Heights
Lakeville
Lilydale
Mendota
Mendota Heights
Rosemount
South St. Paul
West St. Paul
---WASHINGTON---
Cottage Grove
White Bear Lake
Woodbury
---RAMSEY---
Arden Hills
Blaine
Falcon Heights
Little Canada
Maplewood
Mounds View
New Brighton
North St. Paul
Roseville
Shoreview
St Paul
Vadnais Heights
White Bear
White Bear Lake
---HENNEPIN---
Bloomington
Brooklyn Center
Brooklyn Park
Champlin
Chanhassen
Crystal
Eden Prairie
Edina
Fort Snelling
Golden Valley
Hopkins
Maple Grove
Medina
Minneapolis
Minnetonka
Minnetonka Beach
Minnetrista
Mound
New Hope
Orono
Osseo
Plymouth
Richfield
Robbinsdale
Shorewood
St Louis Park
Tonka Bay
Wayzata
---SCOTT---
Prior Lake
Savage
Shakopee
Chanhassen
Chaska
STATE*:
*Twin Cities Metro Area Only
ZIP CODE:
PHONE #:
(
)
-
EMAIL:
NUMBER OF PEOPLE RECEIVING GIFTS:
NUMBER OF GIFTS:
DISCOUNT CODE:
SPECIAL COMMENTS
(Optional):
255 Characters Max:
DELIVERY DATE:
Christmas
Weekend Deliveries
Dec. 23, 2012
Dec. 24, 2012
Weekend Delivery
Dec. 25, 2012
Choose a Date:
Saturday, October 6
Sunday, October 7
Saturday, October 13
Sunday, October 14
Saturday, October 20
Sunday, October 21
Saturday, October 27
Sunday, October 28
Saturday, November 3
Sunday, November 4
Saturday, November 10
Sunday, November 11
Saturday, November 17
Sunday, November 18
Saturday, November 24
Sunday, November 25
Saturday, December 1
Saturday, December 1
Sunday, December 2
Saturday, December 8
Sunday, December 9
Saturday, December 15
Sunday, December 16
Saturday, December 22
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