Personalized Books Canada

When completing the order form please double check all entries. Ensure that all names are spelt correctly, and that age stated is the age the child will be when receiving the book.

* Required Fields.

First Name: *
Boy * Girl

Middle Name:

Last Name: *

Home Town: *

Province/State: *

Date the book is given: *

List up to three of the first visitors to see the baby: *
(1)
(2)
(3)

Dedication (With love from, etc.): *

This book is from (Mommy & Daddy, etc.): *

Date of birth: *

Time of birth: *

Weight at birth: *

Length at birth: *

Doctor, Midwife or Nurse:

Hospital: *

First Name of Mother: *

First Name of Father: *

Choose the version most suitable for your baby: *

Shipping Information

If ordering online, you only need to enter your email address and the name of the person placing this order. You will be required to enter your name, etc. when making final payment.

First Name *

Last Name *

Street Address1 * (Street Address, P.O. Box, company, c/o)

Street Address2 (Apartment, suite, unit, building, floor, etc)

City *

Province/State * Other Location

Postal/Zip * (T0H2M5, 90210, 90210-254)

Country *

Phone#

E-mail Address

Additional comments