CHILDS INFORMATION

First Name:    Nickname (optional):

Middle Name (opt):    Last Name:

Age (opt):    Boy/Girl:

Hometown:    State/Province:

Three friends or relatives:

This Book is From:

Additional Information for Baby Book Only

Date of Birth: Month Day Year

Time of Birth: AM/PM

Baby's Weight:pounds, ounces

Baby's Length:     Delivered by:

Hospital:

Mom's First Name:     Dad's first Name:

SOLD TO:

Name:    Street:

City:     State:

ZIP:    Phone:

E-Mail:

PRICE LIST

My Baby Book                            18.95 ea.   

My Day on Sesame Street            14.95 ea.   

Sesame Street: ABC and me         14.95 ea.   

Dinosaur Land                               14.95 ea.   

Mother Goose                                14.95 ea.   

Noah's Ark                                    14.95 ea.   

Three Little Pigs                              14.95 ea.   

Ballerina Princess                            14.95 ea.   

                                      Subtotal                                                          

                                      Shipping ( 4.95 for up to each 5 books)           

                                      Tax (6%)                                                         

                                      Total                                                                

                        Payment by check, money order or PayPal:

**ORDERS NOT SHIPPED UNTIL PAYMENT RECEIVED**