Children's Personalized Story Books Order Form
To place an order just type in the boxes, and then click on the Submit Button. If you wish to print the order form and mail it or fax it to us Click Here.
If you E-Mailed us and we sent you the names of the Licensed Books or a Color Brochure, and you would like one of these Licensed Books, just type in the book title in this next box.
Licensed Books: Enter The Name Here
We also carry books with favorite cartoon character, and favorite animated characters. These licensed books can not be listed on the Internet. We can send you a color brochure on the books at your request. For a Color Brochure E-Mail us your Name and Address.
* Required Fields
CHILDS FIRST NAME *
MIDDLE NAME (optional)
LAST NAME *
Sex: Boy Girl Age:
HOMETOWN * STATE *
Dedication Line * (Example:) Merry Christmas, Happy Easter, Happy Birthday, To a Special Son,
Default Year 2008 2009 Under This Book is From, the year is printed. If this is a gift for next year please change the date.
This Book is From * (Example:) Grandma, Mom, Dad, or First and Last name, Uncle Mike, etc.) (This will be printed on the first & last page of the book)
NAME OF THREE FRIENDS OR RELATIVES OR PETS:
First Second
Third
Date of Birth: Month: Day: Year: Time of Birth: : ? A.M. P.M.
Baby's Weight: Pounds: Ounces: Baby's Length:
Delivered By: Dr: Hospital Name: Mom's First & Last Name: Dad's First & Last Name:
Favorite Players: Winning Team: Losing Team:
Name of Teacher: Name of School:
Address: *
City: * State: * Zip: *
Area Code: Number:
Contact Name: * (Above phone number is for questions I might have with your order.) E-Mail Address: *
If Paying buy Check Please Click on check in Type Of Card Box.
Name as printed on Card:Exp: Date:
Type of Card: None MasterCard Visa Discover Check
Card Number: If using a Discover Card Please include the last three numbers above your signature at the end of your card numbers.
Books sell for $16.00 Each, which includes shipping in the US: Please Note: Your Credit Card will show Children's Pesonalized Story Books, as the processor for this transaction for the total of your order.
Just Click Once on Submit
Make Check out to and mail to: Children's Personalized Story Books Inc. 1444 South Lake Shore Drive Fowler, Illinois 62338 Phone 217-222-2965 or Fax 217-223-0126 E-Mail us at orders@neatpages.com
Return to Home Page Click here to see Description of Story Books