Pappa Bear Books ~ Personalized Baby Book Order Form
#503 Create-A-Book
Please provide the following information for each child: (If ordering "Twins" version please put both baby's information on the same line. ie: Robert/Susan )
Gender: Female Male Choose Gender Below
First Name: Middle Name:
Last Name: *Name Called (Nickname) see below:
Hometown: Date of Birth: Time of Birth: p.m. a.m.
Length (in inches): Weight: lbs. ounces.
Doctor/Midwife: Please Select One Doctor Midwife Unknown Dr. or Midwife Name:
Hospital Name: (please include full name of hospital...i.e... Memorial Medical Center or Springfield Hospital)
Mother's First Name: Father's First Name:
Name of Visitor's: (You may list up to four, please list in the order you would like printed.)
1. 2.
3. 4.
Dedication Selection: With Love From Love From This Book is From Happy Birthday! Merry Christmas! Love Always Happy Reading From Or Write Your Own:
Dedication date printed in book: Version: Standard Version Christian Version Adoption Version Single Parent Version Adoption ~ Single Parent Version Twins Version Premature Birth
Who the book is from (Mommy & Daddy, Grandma & Grandpa, etc..):
Order Book Giftwrapped for additional $2.00 ~ Choose Giftwrap Selection Baby Bears Oh, Baby! Rubber Ducky Balloons & Presents Critters Balloon Celebration Christmas Stockings Santa Night Scene Select GiftWrap Here View Giftwrap Selections Here
*Nickname will be used throughout the book if listed on order form. Please only enter the name if the child goes by that name in everyday life. Thank you.
**IMPORTANT NOTICE**
After submitting your order, you will have the option to continue shopping or check-out. You can pay by Visa/Mastercard or with PayPal online or send a check or money order via the US Postal Service. You must checkout when finished shopping to complete the order process.