Create-A-Book "Mother Goose - #510 Order Form
#510 Create-A-Book
Please provide the following information for each child:
Gender: Girl Boy No Gender Selected
First Name: Middle Name: Last Name:
*Name Called (Nickname)see below: Age: Birthdate:
Hometown: State:
Name of Friend's: (Stories reads better with only one friend, but can list up to two.)
1. 2.
Additional Information Required is: (Optional)
Street Address: (Optional, do not have to include house number).
Dedication Selection: Or Write Your Own:
Dedication date printed in book:
Who the book is from (Mommy & Daddy, Grandma & Grandpa, etc..):
Order Book Giftwrapped for additional $2.00 ~ Choose Giftwrap Selection Balloons & Presents Critters Balloon Celebration Baby Bears Oh, Baby! Rubber Ducky Christmas Stockings Santa Night Scene No Giftwrap Choice Selected 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.