Age__________ Boy________Girl__________
Gift date to be printed in book: _________________________________
First Name______________________
Last Name__________________________________Nickname___________________
Hometown________________________________________State__________________
List three friends or relatives:
1_____________________________________2____________________________________
3_____________________________________
Dedication: (With Love From, Kisses From, etc.)_____________________________________________________
This book is from: (Mommy & Daddy, Nana Ruell, Auntie Lisa,
etc.)_____________________________________
Customer Information:
Name_______________________________
Address____________________________
City ________________________________
State___________Zip_________________ |
Shipping Information - If Different
Name_______________________________
Address____________________________
City ________________________________
State___________Zip_________________ |
If we have a question: E-mail or
Telephone: ___________________________
We will not call unless we have a question on your
order...we will not sell your address.
$12.00 Per Book |
$3.00 Shipping First Book
$1.00 Each Additional Book |
Number of books_______________
Sub total $_______________
Sales Tax (Mass Only)_______________
Shipping _______________
Total _________________ |