Printable Order Form

Printable Mail Order Form

Use the Printable Mail Order Form below to purchase your Personalized Book(s). For a special order form for the Keepsake Baby Book, see My Baby Book Order Form.

If you are giving this as a Gift and purchased a Gift Certificate through PayPal OR you are the recipient of a Gift Certificate, please enter the code number below:

GIFT CERTIFICATE CODE: ___________________________

Please print this form directly from your browser.

Fill out the appropriate information and MAIL/ PHONE/ FAX to Brighter Learn at the address shown below.

Please be sure to PRINT CLEARLY to avoid errors. If you make an error, we will reprint for a lesser cost. If Brighter Learning makes an error (with the correct information being on the order form), we will reprint for no additional cost.

If the name or any other information is unique, please make a special note. Name spellings (Chris vs. Kris; Maryann vs. Mary Ann; or Sherry vs. Sherri) can be confusing and may cause your order to be delayed. Please note same considerations when using a nickname.

We can only accept checks drawn on a U.S. bank, and we can only ship to U.S. addresses.

PLEASE CHOOSE ONE BOOK PER ORDER FORM IF INFORMATION IS DIFFERENT - you may order a letter with a book on the same form.

PRICES USD	LANGUAGE English Spanish	BOOK TITLES	PRICES USD	LANGUAGE English Spanish	BOOK TITLES
14.95 12.95 9.95 12.95 12.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 2.00 2.00 2.00 9.95	___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Eng ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng ___Spa ___Eng ___Eng ___Spa ___Eng ___Spa ___Eng	My Baby Book Flintstones Scooby-Doo The Justice League™ The Looney Tunes Garfield Batman™ My Day on Sesame Street™ Sesame Street: Let's Count™ Sesame Street: ABC and Me™ Superman & Wonder Woman™ X-Men™ African American Santa Letter Caucasian Santa Letter Easter Letter African-American Heroes	9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95 9.95	___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: B'day 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: __________________________________________________

ORDER TOTAL (REMEMBER, ONLY ONE BOOK PER ORDER FORM IF PERSONAL INFORMATION IS DIFFERENT; HOWEVER, YOU MAY ORDER A LETTER ON THE SAME FORM):

Cost of Item(s)	$ ___________	($9.95 / $12.95 / $14.95 / $2.00 (letter price includes postage))
Photo Sticker	FREE
Discount	$ ___________	(See Discounts - always 10% on order of 3 or more books)
Certificate Amount	$ ___________
Subtotal	$ ___________
Tax	$ ___________	(See Tax table below)
Shipping/Handling	$ ___________	($1.95 for each Deluxe Book & $2.25 for each Giant Book)
Total Order Price	$ ___________

Tax:
	Colorado Resident (non-Teller County).............................................	2.9% tax
	Colorado Resident (Teller County, non-Woodland Park City)......	3.9% tax
	Colorado Resident (Teller County, Woodland Park City)................	6.9% tax

CUSTOMER INFORMATION:

Today's Date: ________________ Customer'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).

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:

Form of Payment:
___ Check	___ Money Order

PLEASE MAIL THIS FORM ALONG WITH PAYMENT TO:

Brighter Learning

181 Honey Hill Lane

Woodland Park, CO 80863

(719) 687-0437

smarshall@brighterlearning.com

Call/E-mail for FREE Descriptive Brochure