Please provide the following information for each child: 

   Child's Gender:  Boy Girl                              

    First Name:   Middle Name:     Last Name:

   *Name Called (Nickname) see below:      Age:       Birthdate:

    Hometown:     State:      

Name of Friend's:  (Stories may let you list up to three, please check story description for restrictions.)

     1. 2.    3.   

    Additional Information Requested :  None   

   Dedication Selection:  With Love From Love From This Book is From Happy Birthday! Merry Christmas! Love Always Happy Reading From Write Your Own:  

    Dedication date printed in book:

   Who the book is from (Mommy & Daddy, Grandma & Grandpa, etc..):

     Order Book Gift Wrapped for additional $2.00  ~ Choose Gift Wrap Selection Balloons & Presents Critters Balloon Celebration Baby Bears Oh, Baby! Rubber Ducky Christmas Stockings Santa Night Scene Choose Giftwrap Here
           View Gift Wrap 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.