Customer Information - AFRICAN-AMERICAN HEROES
CHILD'S FIRST NAME:
(Example: Joseph)
CHILD'S MIDDLE NAME:
(optional)
CHILD'S LAST NAME:
(Example: Smith)
NICKNAME:
(optional. Example: Joe)
CHILD'S HOME TOWN:
(Example: Chicago)
& STATE:
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Colorado
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
GENDER:
Boy
Girl
AGE:
(optional)
Choose up to four friends, siblings, relatives, or pets to also be in the story.
(You must have at least two names) (Examples: Grandpa, Mom, Sleek, Cousin Joe)
FRIENDS NAME #1:
FRIENDS NAME #2:
FRIENDS NAME #3:
FRIENDS NAME #4:
This personal message will appear on the front page of the book. Use one of ours or create your own.
(Example: With love from; Merry Christmas from; Happy Birthday from; All my love; Just because we love you; To a special nephew.)
MESSAGE FROM SENDER:
(Example Image)
(Max. 35 Characters)
This line tells the recipient who the book is from.
(Examples: your Grandma & Grandpa, Mom & Dad; Uncle Steve; your cousins, Vick & Joe)
THIS BOOK IS FROM:
(Example Image)
(Max. 35 Characters)
This line goes underneath the name of the person who the book is from. When you add a date it makes the book more of a keepsake.
YEAR:
(Example: Christmas 2003 )
This line goes underneath the name of the person who the book is from. When you add a date it makes the book more of a keepsake.
YEAR:
(Example: Christmas 2003 )
DATE OF BIRTH:
(Example: 7/28/2002, July 28, 2002)
TIME OF BIRTH:
(Example: 12:08pm)
WEIGHT:
(Example: 4.2 pounds)
LENGTH:
(Example: 18 inches)
MOTHER'S NAME:
(Example: Pam)
FATHER'S NAME:
(Example: Jeff)
HOSPITAL:
(Example: Medical City Hospital)
DOCTOR'S NAME:
(Example: Dr. Rich Bow)
PARENTS:
Both
Mommy
Daddy