Order Form

Create-A-Book

Customer Name:*
Customer Address:*
Customer Phone Number:*
Customer Email:
Payment Method:*
Book Name:*
Child's Name:*
Child's Age:*
Child's Gender:*
Child's Hometown:*
1st Friend:*
2nd Friend:
3rd Friend:
Dedication:*

Baseball's Unsung Hero

Beverage:
Star's Phone Number:

Graduation Standard or Humorous

Graduation Date:
Type of Degree:
School Name:
Friends:
Friends:
Family Members:
Teachers:
Gender (Opt):
Age (Opt):

Hockey

Favorite Team:

Mother's Day

Mother, Mom (name called by child):
Favorite Food prepared by Mom:
Mom's eye color:
Hometown:
Dedication:
Book From:
Date of Gift:

Mother Goose

Street Address:
1 Friend:

My Birthday Surprise (Grown Up)

Birth Month:
Birth Day:

My Birthday Surprise (Standard)

Birthdate Month:
Birthdate Day:

My Birthday Wish

Birthdate Month:
Birthdate Day:

My Fishing Adventure

Fishing Partner:

My Fishing Adventure (Grown Up)

Fishing Partner:

My Golf Adventure

Favorite Golf Course:

My School Fun Book

School Name:
Teacher:

No More Diapers

Older Child:
Relation:
Gender:

Retirement Book

Spouse's Name:
Co-Workers 2 or 3:
Favorite Activities:
Place of Employment:
Job Title:
# of years on the Job:
Date of Retirement:

The Sibling Book

Sibling:
Gender:
Relationship:

The Sports Book

Sports Event :
Name of Coach:

Ruby's Personalized Treasures
6655 N. 200 E.
Alexandria, IN 46001
United States
Phone: (765) 649-3412

http://www.afamilyshop.com and http://www.personalizedtreasures.stampinup.net
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