|
Use a separate form for
each book ordered |
Make check or money
order payable to: |
Age__________ Boy________Girl__________
First Name______________________Middle (Optional)________________________
Last Name__________________________________Nickname___________________
Hometown________________________________________State________________
List four of the first visitors to see the baby:
1___________________________________2_________________________________
3___________________________________4_________________________________
Date of
Birth____________________________Time of Birth_____________________
Length (Inches)__________________Weight (Lbs - Oz)________________________
Doctor (Optional)_______________________Hospital__________________________
Mothers Name_________________________ Fathers Name(Optional)___________
Dedication: (With Love From, Kisses From, etc.)_____________________________________________________
This book is from: (Mommy & Daddy, Nana Ruell, Auntie Lisa, etc.)_____________________________________
Gift date to be printed in book: _________________________________
Customer Information: Name___________________________ |
Shipping Information - If Different Name_____________________________ |
If we have a question about your order: E-mail or Telephone ___________________________
$14.00 Per Book |
$3.00 Shipping First Book |
Number of books_______________ |
