My Baby Book Order Form.

Please use separate order form for each book

Once Completed, highlighted everything on the page and click EDIT, COPY (CTRL C).  Then create an e-mail message
and in the body of the message, click EDIT, PASTE (CTRL V).  Send E-mail to:  Books1@Bednarcik.com 

 

Book price $13.00
Baby's First Name:
Middle Name (Optional):
Last Name:
City:
State :
Boy / Girl: Boy Girl
3 Friends/Relatives:  
1.
2.
3.
Greeting:
This Book Is From:
Date Of Birth  
Month:
Day:
Year:
Time Of Birth: AM PM
Baby's Weight  
Pounds:
Ounces:
Baby's Length: Inches
Delivered By:
Hospital:
Mom's First Name:
Dad's First Name:

Shipping address  

Name:
Address:
City:
State:
Zip Code:
Daytime Phone Number:
Evening Phone Number:
E-Mail address:


Prices in U.S. Dollars for shipping within the U.S.

Please e-mail us for prices to ship Internationally

Please allow 2 weeks for delivery

 
Shipping Charges:
Please add $2.00 per book to cover shipping and Handling

 
Total Amount of Order:
Payment Method: Check Money Order PayPal (Click Icon)


Please make all checks & money orders payable to John Bednarcik

  I accept payment through PayPal!, the #1 online payment service!


 
Comments:

Please print this from out once completed and send it to:

John and Cindy Bednarcik
522 Truman Annex  Apt. B
Key West, Florida
33040


Thanks a lot!!!!


Return Home