Please fill out and attach to order form
Note: Artist is not responsible for errors resulting from illegible copy.
Date of Order ____/____/____
Certificate Item # or Title________________________________________
Size of Artwork ____X____
Paper Color (Select One) ____Black ____Burgundy ____ Blue
Baby's Name__________________________________________________
(Is it acceptable to use middle initial if space is limited? ___Yes ___No
Date of Birth: Month___________________Day___________Year_____________
Time_____________ (Circle one) AM PM
Weight_____________lbs. __________ozs.
Length_____________ inches
City (Optional)__________________________________________________
State (Optional)__________________________________________________
Parents________________________________________________
(Is it acceptable to use middle initial if space is limited? ___Yes ___No
Special Instructions:
All artwork is an original and may vary some what from original shown, each piece is unique, but similar.
Please allow 4 to 6 weeks for completion and delivery, if needed before allotted time, please add $15.00 rush charge to order.