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Middle Name (optional):
Nickname (optional):
if you include a nickname, the full name of the child will
be used at the beginning of the story, but the nickname will be
used throughout the rest of the story
Last Name:
Age at time of receiving (optional):
Boy or Girl?
Home Village and / or Town:
Dedication Line 1 (e.g., "With
Love"):
Dedication Line 2 (e.g., "Happy
Birthday"):
(optional
- maximum 35 characters)
This Book is from (e.g., "Mummy and
Daddy"):
Names of friends and/or relatives:
(please
note that these names will also feature in the book)
Please note that all these items are
optional, but if they are left blank, the book will
contain space where they can be written in by hand.
In our opinion, the presentation of
the book looks better if they can be provided to us on
this form.
Date of Birth:
Time of Birth:
am or pm?
Baby's Weight:
(please
specify lbs/ozs or kgs)
Baby's Length:
(please
specify inches or cms)
Delivered By:
Mum's First Name:
Dad's First Name:
Name of Hospital:
Your Details
Name:
PLEASE NOTE:
We despatch to UK addresses only. If you
live outside the UK but would like the book delivered to
a UK address, please specify it in the "other
information" box below.
Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:
Post Code:
Telephone (we will call you only if we
have a query):
Email Address:
Please enter any other
information that you would like to give us (e.g.,
alternative delivery address, date required, etc.)
Order
Value and Payment Method
Select
Order Value:
(Ordering more than one book?
Make a note of each order value so that you can make
a single payment if using PayPal or NOCHEX)
£9.95
- delivery by Royal
Mail first class
£10.65
- delivery by Royal
Mail first class recorded delivery
(if
ordering more than one item, please make a note of
the item cost so that you can make a single payment)