#512 Create-A-Book

#512 Special Delivery Baby Book Brightly illustrated by a famous Disney artist, this adorable baby book records the most important facts of your baby's birth. Standard or single parent. Read the Story First $12.95 each or $14.95 Wrapped

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:             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./Midwife Name:        

Hospital Name:
(Please include complete hospital name as you want printed, i.e....Memorial Medical Center, Springfield Hospital)

Mother's First Name:          Father's First Name:

**Parent Last Name for Single Parent Version Only: 

 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:  Select Dedication Below 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 Single Parent Version

   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.