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#K003 - Un-official Birth Certificate

Please fill out a separate order form for each Un-official Birth Certificate you order. 

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 Un-official Birth Certificate, or how to order additional products.

Please provide the following information to order your Un-official Birth Certificate:
Customer:                                                                                 Promo Code:  (If Known)  
Name:   
           
Address:
           
City:  State:   Zip:  
           
Phone:   Email:   
           
Version to Print:     This is language we will use to print your certificate.    
           
Name to be printed:                              Sex:   
           
Date Born:       MM/DD/YYYY  (ie Sep 19, 1955)
           
Weight: Length:
           
Place of Birth:      
           
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             
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
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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 3/10/2006