Special Delivery
This treasured keepsake records
the story of your child's birth.  
Please Send Us Your Order Information
Baby's full name:
Mother's Name:
Father's Name:
Hometown/State:
Date of Birth
Weight/Length
Doctor or Midwife
Time of Birth
2 first visitors
Hospital
Book Version
Shipping Information
Name/Address
Email Address
Questions:  Please email this form and I will contact
you within 24 hours
Order Process
Send information.  An email will be
sent back as confirmation of the
order.  If you want to use Pay Pal
we will send the link along with an
invoice for all of your purchases.  
If you would like to pay by check
or money order, an invoice will be
emailed to you.  Please be sure to
include this with your order.  This
option will delay your shipment
approximately 10 days.

Thank You For Your Order!
Choose the version most suitable
for your baby.

Enter this on the order form.
Standard
Single Mother
Hard cover,  36 pages,  
6 3/4 by 8 1/4
Price $12.95