Web Order Form

If you are paying through PayPal

 Purchaser Name         Purchaser Email or Phone  

BOOK LANGUAGE and TITLE (Language the text will be written in and the title of the selected book).

English Text / Title   

  Spanish Text / Title 

  • First Name:    Middle Name (Optional): 
  • Nickname (Optional: after 1st page, program uses nickname throughout book):
  • Last Name: 
  • Gender:  Female     Male                                  Age (optional): 

  • Hometown and State (ex., Woodland Park, Colorado): 

  • Three Friends, Relatives, Pets, etc. that you want listed in the story (maximum combined length including commas and spaces is 55).
  • Message (ex, With Love! or Happy Birthday): 
  • This Book is From: 
  • Date (optional: ex May 2004 or May 15, 2004): 

If you are ordering My Baby Book, Football Star, G-o-o-oal, or School is Fun,

please continue below in the appropriate area.

 

Additional Information for My Baby Book ONLY

 

VERSION:  Two-Parent        Mother Only      Father Only

  • Date of Birth:   Month       Day     Year 

  • Time of Birth:       AM    PM

  • Baby's Weight:  Pounds    Ounces 

  • Baby's Length (Inches): 

  • Delivered By:     Hospital: 

  • Mom's First Name (If Applicable):   

  • Father's First Name (If Applicable):

Additional Information for Football Star / G-o-o-oal Soccer (optional)

  • Favorite Players: 

  • Winning Team:    Losing Team:

Additional Information for School is Fun ONLY (optional)

 

  • Teacher's Name:    School Name:

PAYMENT:    PayPal

     Mailing Check/Money Order (mail to: Brighter Learning, 181 Honey Hill Ln, Woodland

             Park, CO  80863)

             Check if you would like your total e-mailed to you.

     Redeeming Gift Certificate:   Amount     Code 

Would you like to be on our Mailing List?    Yes  How would you like to receive Specials 

                                                                         No     Already on List

  • Information is NEVER sold, traded or given to another party.

SHIPPING ADDRESS:

                                      

 

Comments:

                    

 

PLEASE VERIFY ALL INFORMATION ON FORM BEFORE SUBMITTING.

  • If Customer makes a mistake, we will reprint at a Lesser Cost.

  • Satisfaction Guaranteed - Full Refund less S/H if returned within 30 days.

  • FREE Photo Frame Sticker with each Book Purchase.