Order Form

Use separate form for each book

$2.00
$2.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$8.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00

Enter Childs name and info below

Christmas Letter
Easter Letter
African-American Heroes
African-American Santa
Baby Jesus
Beauty and the Beast
Dinosaur Land
Jesus the Provider
Little Mermaid
Ninja Adventure
Noahs Ark
Santa and Rudolph

FIRST NAME: __________________________

LAST NAME: __________________________
AGE: ________
HOMETOWN: _________________________
STATE: _______________________________

School is Fun
Sports Superstar
Teddy Bear Land
When I Grow Up
Aladdin
Barbie and Me
Bugs Bunny in Cartoon Land
Mickey Mouse
Minnie Mouse n Me
Pocahontas
Power Rangers
Snow White and the 7 Dwarfs
The Lion King
Winnie the Pooh

1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
5. __________________________________
(Well get in as many as we can in order 1-5)

BOY

GIRL

This book is from: ______________________

_____________________________________
FIRST NAMES OF FRIENDS OR RELATIVES

MAIL BOOK TO: (Child or Parents address)

NAME: ______________________________
STREET: _____________________________
CITY: ________________________________
STATE: _______________________________
ZIPCODE: _____________________________
PHONE: ______________________________
E-MAIL: ______________________________
PRICE LIST
COST OF ITEM(s):
PHOTO STICKER:
SHIPPING PER BOOK:
SHIPPING PER LETTER:

$__________
$ FREE_____
$_2.50_____
$ .50______

TOTAL:

$__________

If you would like a 2-line Dedication

________________________________
________________________________

Additional Info for School is Fun book ONLY

Ex. Happy 6th Birthday Britney! We Love You!

May 29th, 2012

TEACHER: ____________________________

Mail and make payment out to:

SCHOOL: _____________________________

John Bednarcik
18694 Pilot Mills Dr.
Noblesville, IN 46062
Jack@Bednarcik.com
PayPal: Gooch@Bednarcik.com
(Please send as a GIFT when using PayPal)

Thank you for choosing our Personalized Books.

We know the child who received this book will
enjoy it for many years. Please enjoy!