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#512 - Special Delivery - Single Parent

Please fill out a separate order form for each book you order.  Items marked optional can be left blank.

Please use your TAB key (or mouse) to move between fields.  Pressing Enter will send your form
before you've filled in all of your information.

After you've filled out your order form, click the SUBMIT button.  That will send your order  to us via email.   The next page you see will explain how to pay for your book.

Please provide the following information to order Special Delivery (Single Parent):
           
Customer:                                                                                     Promo Code:  (If Known)  
           
Name:     
           
Address:
           
City:    State:     Zip:  
           
Phone:    Email:
           
Book Name:       
           
First Name:   Gender:  
           
Middle Name: Birthday:   mm/dd/yy
           
Nickname: Does child go by his nickname?  
           
Last Name:    
           
Hometown:   
           
Visitor #1:       Gender:    
           
Visitor  #2: Gender:  
           
Visitor #3:        Gender:    
           
Mothers Name:
           
Father's Name:    
           
Dedication:    
Book From:  
Date of Gift: (Optional)
Optional Information:
Hospital:
Doctor or Midwife Name:
Time of Birth:
Weight:
Length:
Please subscribe me to your monthly Innovations Newsletter:
Click SUBMIT to send your order.      Click once and then wait for your acknowledgement.

     (Clicking Reset will clear all the data you just entered.)

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RWR Innovations    Our Privacy Policy                      
Personalized Children's Books - Child Book Publisher - Personalized products     
P.O. Box 460939                      
Papillion NE 68046-0939        FAX:  1-678-528-5017
 
505-217-3662    (Albuquerque)   Best time to call is between 9 AM and 11 PM EST
770-850-1400    (Atlanta)                                
402-592-9199    (Omaha)          
877-402-7167    (Toll Free)
 
                                                      
 Webmaster:  Ron Nixon  webmaster@rwrinnovations.com     
                     9405 Talara Place NW
                     Albuquerque NM 87114
                     505-217-3662        
                     Site Map                Last Updated  8/8/2006

 

 

 

 

 

 

 

 

 

Helpful Information:

Child's Age:  

Enter the child's age.  For example,  5 for five years old.  Less then a year old, enter the number of months.  i.e. 4 months.

Return to Order Form

Last Name:

If child is a Jr. or a III, enter the last name and the designation without commas.  For example, Parker Jr. or Parker III. 

Return to Order Form

Dedication:

Here is a sample "Dedication" page:

The Big Parade" was created especially for

Jimmy Wigent

at the age of 7

For my grandson1

Love Grandpa Ron2

July 4, 20063

1.  This is where your "Dedication" line displays.

2.  This is where your "Book From" line displays.

3.  This is where "Date of Gift" displays.

Return to Order Form