Chalkboard Order Form (Newborn Facts)

Full Name

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Collage Background

Baby's First Name

Baby's Middle Name(s)

Baby's Last Name

Baby Gender

Birth Date

MonthDayYearHourMinutesAM/PM Option

Weight (lbs,oz)

Length (inches)

Colour Choices (max 3)

Desired Payment Method

Product

Coupon Code:

11"x14" Print (Pick-Up)$22.00 CAD

8"x10" Print (Pick-Up)$20.00 CAD

11"x14" Print (Delivery)[shipping fee applies]$22.00 CAD

8"x10" Print (Delivery)[shipping fee applies]$20.00 CAD

11"x14" Digital Copy (E-mailed to you)$20.00 CAD

8"x10" Digital Copy (E-mailed to you)$18.00 CAD

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Subtotal Shipping Total $0.00 CAD

Date Required (min 1 week)

DayMonthYear

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Chalkboard Order Form