The Big Circus (DEC 2021)
The Big Circus (DEC 2021)
1
Untitled Page
>
2
Untitled Page
>
3
Untitled Page
>
4
Untitled Page
>
5
Untitled Page
>
6
Review Your Entry
PURCHASER'S NAME
PURCHASER'S NAME
*
First
Last
MULTIPLE ITEMS
(Only select 0ne)
*
MULTIPLE ITEMS
(Only select 0ne)
YES
NO
Number
*
First ITEM PURCHASRE INFORMATION
*
First ITEM PURCHASRE INFORMATION
First ITEM PURCHASER INFORMATION
Next ITEM SHIP TO PURCHASER
Next ITEM SHIP TO OTHER ADDRESS
Date
Date
/
MM
/
DD
YYYY
Time
Time
:
HH
MM
AM
PM
AM/PM
Print Date
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Bind Date
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Mail Date
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Delivered Date
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
INFORMATION FOR ITEM
THIS IS THE INFORMATION FOR YOUR BOOK.
Child's First Name
*
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Child's Name in Story
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Child' Name in Story
Child's Middle Name
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Child's Middle Name
Child's Last Name
*
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Gender
*
Gender
Male
Female
Child's Age
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
First Names of Friends (up to 3):
Maximum of
50
characters allowed.
Currently Entered:
0
characters.
Hometown
*
Maximum of
25
characters allowed.
Currently Entered:
0
characters.
Dedication Line 1
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Dedication Line 2
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Dedication Line 3
Maximum of
30
characters allowed.
Currently Entered:
0
characters.
Gift From
Date of Gift
Please check spelling above and verify personalization for the book is correct.
I approve the personalization text above.
Draw your signature into the box below.
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.