by Dale Pike Products
Pittsfield, MA 01201

"My Birthday Wish"
$14 (+ choice of s/h in shopping cart)

Personalized Order Form
(Can ONLY be ordered with OTHER Traditional Favorites titles.)



My Birthday Wish
........
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
  • Fill out this form
  • click "Order" button
  • enter payment information
 Checks,
MoneyOrders,
Gift Certificates
  • Fill out & print this form
  • Click "Order" button
  • Get total w/ shipping
    (do not enter cc info)
  • Mail with form to:
     BooksForMe.com
    158 Maple Grove
    Pittsfield, MA 01201

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.
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 No
If yes - did it help you make
your decision to buy?:
Yes No
Ordered By:
(If Different than Shipping Information)
Name:
Address:
City:
State:
Postal Code:
Country:
Click the "confirm" button to verify you've double checked your spelling.
Clicking the "Order" button submits your order, pay cart is next...
<<<------ Confirm