| Buyer's Full Name: |
|
| Book Name: |
|
| Email: |
|
| Personalized Information: |
|
| Child's Full Name (First,
Middle[optional],
Last): |
|
| Nickname (if applic.): |
|
| Age (optional): |
|
| Gender (M,F): |
|
| City and State of Residence for child
(city,
state): |
|
| Up to 3 first (or nick) names of
friends or
relatives to be included in the storyline: |
|
| Dedication line 1[limit 35 characters]
(i.e.
With Love From): |
|
| Who book is from [limit 35
characters]: |
|
| Dedication line 2[limit 35 characters]
(i.e.
Happy Birthday, 2013): |
|
| Text Language: |
|
| Cover Language: |
|
| Additional Comments: |
|
| |