Customers Name
Your Work Number
Your Home Number
E-mail Address
Your Street Address
Your Address (cont.)
City
State/Province
Zip/Postal Code
If shipping to a different address:
Name
Street Address
City
State
Zip/Postal Code
Ordering more then one item today?	Yes    No
Special promotion or offer or coupon number
ITEM DESCRIPTION AND PERSONALIZED  INFORMATION
Please list the name of each  item being ordered and  include any information needed to personalize your product. Please use UPPER CASE letters when typing  the name of each item ordered. Leave a blank row between each new item.
Personalized information for this book
Child's First Name
Middle Name
Last Name
Hometown
Nickname or first name to be used through this book
Child's Age
Date of Birth
Gender	Male  Female
1-3 Friend's Names  (first names only)
Dedication (Ex. With Love, Your Friend, etc.)
This Book is From Ex. Mommy & Daddy, Grandpa & Grandma etc.)
Some books have more personalized information than others. Please list  any additional information that may be required for your book below. This information is included with  the description of each book.