Printable Gift Certificate

Printable Gift Certificates

Brighter Learning Personalized Book

To: __________________________ From: __________________________

Message: __________________________________________________________

___________________________________________________________________

PLEASE CHOOSE ONE BOOK PER ORDER FORM - you may order a letter with a book on same form.

LANGUAGE English Spanish	BOOK TITLES	LANGUAGE English Spanish	BOOK TITLES
___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Spa ___Eng ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Eng ___Eng	My Baby Book Flintstones Scooby-Doo Marvel Heroes The Justice League™ The Looney Tunes Batman™ My Day on Sesame Street™ Sesame Street: Let's Count™ Sesame Street: ABC and Me™ Superman & Wonder Woman™ X-Men™ Garfield African American Santa Letter Caucasian Santa Letter Easter Letter African-American Heroes	___Eng ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Spa ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa	African-American Santa Ballerina Princess Baby Jesus Beauty and the Beast Circus Star:Birthday at the Circus Circus Star:Circus Party Dinosaur Land Farm Animals Football Star God Loves Me G-o-o-oal!: A Soccer Story Jesus the Provider Jewish Holidays Kwanzaa Little Mermaid Mother Goose Ninja Adventure Noah's Ark Santa School is Fun Sports Superstar Teddy Bear Land Three Little Pigs When I Grow Up

PERSONALIZED INFORMATION:

Please Enter Information as it will be

PRINTED IN THE BOOK

PLEASE PRINT CLEARLY

FIRST NAME: ___________________________________________

NICKNAME: ____________________________________________

(optn'l.: after 1st page, program uses nickname throughout book)

MIDDLE NAME: (optional) ___________________________________

LAST NAME: ___________________________________________

AGE: (optional) ______________________ BOY GIRL

HOMETOWN: ________________________STATE______________

Three	1: _________________________________
Friends,	2: ________________________________
Relatives or Pets	3: _________________________________

MESSAGE (ex. With Love From, Happy Birthday, etc.):________ _______________________________________________________

THIS BOOK IS FROM:_____________________________________

DATE (optional: ex. May 2000) _____________________________

Additional information for My Baby Book ONLY

	English	Spanish
Two Parent Version
Single Mother Version
Single Father Version

DATE OF BIRTH: _____________ TIME OF BIRTH:_________ AM PM

BABY'S WEIGHT: ___________ pounds __________ ounces

BABY'S LENGTH: ______________ inches

DOCTOR'S NAME: __________________________________________

HOSPITAL: _______________________________________________

FIRST NAME: __________________ MOM____________________DAD

Additional info. for Football Star or Soccer ONLY

FAVORITE PLAYERS: ________________________________________

TEAMS: ____________________WINNING _________________LOSING

Additional information for School is Fun ONLY

TEACHER: _________________________________________________

SCHOOL: __________________________________________________

PURCHASER'S INFORMATION:

Today's Date: ____________________

Purchaser's Name: ______________________________________________

Address: __________________________________________________________________________

City: ___________________________________ State: _____________________ Zip: ___________________

E-Mail: _________________________________ Phone (Day): ___________________ (Eve): __________________

(e-mail and/or phone is required if it becomes necessary to verify spelling of names or ask other questions. As always,

your e-mail and/or phone will NOT be sold, traded or given to another party).

Recipient: Would you like to be put on our Mailing List? Yes ______ No _____ If Yes, Postal Mail _____ E-mail _____ Both Methods ____

If yes, please provide address or e-mail

Purchaser: Would you like to be put on our Mailing List? Yes ______ No _____ If Yes, Postal Mail _____ E-mail _____ Both Methods ____

SHIPPING INFORMATION (IF DIFFERENT THAN ABOVE):

Name: ______________________________________________

Address: __________________________________________________________________________

City: ___________________________________ State: _____________________ Zip: ___________________

E-Mail: _________________________________ Phone (Day): ___________________ (Eve): _________________

BILLING INFORMATION: See Pricing Information Under Printable Order Form

Purchaser: Form of Payment

	____________________ Certificate Code Number __________ Certificate Amount
_____ Check	_____ Money Order

PLEASE MAIL THIS FORM ALONG WITH PAYMENT TO:

(MAKE CHECK OR MONEY ORDER PAYABLE TO:)

Brighter Learning

181 Honey Hill Lane

Woodland Park, CO 80863

719-687-0437

smarshall@brighterlearning.com

Call/E-mail for FREE Descriptive Brochure