BABY BOOK ORDER FORM
Fields in
BOLD
face type ARE required!
(If you use Nick Name it will appear
throughout the book.
First Name
will appear
only once on the first page.)
Dedication lines appear on the very first page of the book.
They can be used for a sentiment
toward the person receiving the book.
Here is an example:
Congratulations, from,
(The names you enter for
This book is from:
appear here.)
On Such A Joyous Occasion.
Your choices for the dedication lines are limited only by your own imagination. Thinking of the occasion and building on that is one way to create dedications. They are not necessary but they do make the book more personal.
Mailing addresses will be used for mailing of the orders ONLY.
We understand your desire for privacy and will never allow anyone
to use this information for any other purpose. Your telephone number will be used by us ONLY if we have a question about your order.
Book Choice:
Baby Book (Large Format)
Your email address:
Baby's First Name:
Baby's Middle Name:
Baby's Nick Name:
Baby's Last Name:
Baby's Age:
Baby's Gender:
Boy
Girl
Baby's Hometown:
Baby's State:
NON-USA
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
West Virginia
Wisconsin
Wyoming
Baby's Province (non-USA only):
Baby's Friend's Name #1:
Baby's Friend's Name #2:
Baby's Friend's Name #3:
Dedication #1:
This Book Is From:
Dedication #2:
Date of Birth - Month:
Day:
Year:
Time of Birth:
AM/PM:
AM
PM
Baby's Weight - Pounds:
Ounces:
Baby's Length:
Delivered by Dr.:
Hospital:
Mom's First Name:
Dad's First Name:
Payment Method:
Cash
Check
Money Order
Promo Code (leave blank if none):
Ship Book To:
Ship To: Address 1:
Ship To: Address 2:
Ship To City:
Ship To State:
Ship To Zip Code:
Buyer's Telephone Number: