Best way to create google ads landing page that contains christmas gifts and option to order them to the nearest store?

Hello guys,
I am planning on doing google ads campaign for local brand that is seasonally selling christmas gifts/packages.. The catch is that they don't want to include online paying. They just want simple form for users to be able to order gifts to nearest local store(exc. 2 packages number 4 and 1 package number 8). I was trying with ninja forms but couldn't get any quality results.. Thank you for help in advance.. Also I am open for all other recommendations!

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