Marclese Creations

We are trying to make ordering as easy as possible. There are several ways to use this form:
1) Print it out, fill it out, mail/fax with your payment.
2) Fill it out, print it out, mail/fax with your payment.
3) Fill it out, hit 'send' this will e-mail the form to us.(do not fill out the credit card information! We will call you for it!)
Delivery time is approximately 2 weeks for credit card orders, 3-4 weeks for check orders. New York deliveries must pay sales tax.

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Select Book:
 
#503...Baby Book 
Standard | Baby Book Single Parent  |  Baby Book Twins 
Baby Book Christian | Baby Book Jewish  


#512...Special Delivery
Special Delivery Standard | Special Delivery Single Parent
Special Delivery Twins (this requires the purchase of 2 books!) 



Your Information:
First Name: 
Last Name:  
Your E-Mail:
Street:     
City:       
State:       Zip:




Your Phone numbers(To be used only if we have questions):
Day:          Extension:
Evening:    
Best Time:  




Shipping address if different than above:
Name:       
Street:     
City:       
State:        Zip:




Payment Type: Visa | MasterCard | American Express | Discover | Check Enclosed  
Card Number:   Expiration:   



Please enter any discount codes in the box below



Signature if using credit card:


______________________________________________________



Baby Book Information




Baby First Name:   
Baby Middle Name:  
Baby Last Name:    
Baby Called:       
Baby Gender:       Male | Female
Baby Hometown:     



Birth Information;
Date:      Time:   AM|PM
Weight:  Length: 



Mothers First Name:
Fathers First Name:



Doctor | Midwife  Name:
Hospital Name:    



First Visitors to see baby..... 
example; Aunt Jo, Grandma Jean and big sister Vicki 
Visitors:         
More Visitors:    



Dedication:            
Book From:             




For twin version of book please fill in the
 following for the second baby

Baby First Name:   
Baby Middle Name:  
Baby Last Name:    
Baby Called:       
Baby Gender:       Male | Female
Birth Information

Date:      Time:  AM|PM
Weight:  Length: 

Baby Books......................................$12.95ea
Shipping/Handling..................................$5.00
Deliveries within New York State Must include Sales Tax


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