My Birthday Wish Personalized Create-A-Book

"My Birthday Wish"
$13.97 (+ s/h calculated in shopping cart)
Personalized Order Form

........

What a great way to celebrate this special day!
With all the possible wishes, it's better being YOURSELF than wishing to be somebody else.

H o w T o O r d e r :

Credit Cards
or

Gift Certificates

Fill out this form

click "Order" button

Fill out this form

click "Order" button

Checks or
MoneyOrders

Fill out & print this form

Click "Order" button

Get total w/ shipping
(do not enter cc info)

Please fill in the blanks below {exactly how it is to be printed}
Order My Birthday Wish
Age:
Gender:	Boy Girl
Date of gift printed in book:
First Name:
Name Called:
Last Name:
Hometown:
State:
Name of Child's Friend:
Month & Day of Birth:
Dedication (With love from, etc.)
Who book is from (Mommy & Daddy, etc.)

I am paying by Credit Card
I am paying by Check / M.O.

I am paying with a Gift Certificate
CertificateID #: .....Exp:(mm/yy)

Shipping Information

Ship To:

Name:

Address:

City:

State:

Postal Code:

Country:

your Phone #:

your e-mail:

How did you find our website?

Did you try our Create-A-Sample?:

Yes

If yes - did it help you make
your decision to buy?:

Yes

Ordered By:
(If Different than Shipping Information)