Printable Mail 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 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.My Baby Book Order Form: Please use Separate Order Forms for Each Book
Options: Language:
____ Two Parent Version ____ English
____ Single Mother Version ____ Spanish
____ Single Father Version
Child's Information:
First Name: ________________________________________________________________________
Nickname: (Optional: after 1st page, will be used throughout book) _______________________________
Middle Name: (Optional) _______________________Last Name: ____________________________
Boy____ Girl ____ Hometown: ____________________________ State: ____________________
Three 1. ___________________________________________
Friends, 2. ___________________________________________
Relatives, or Pets 3. ___________________________________________
Dedication: (ex. With All Our Love, Congratulations, etc.) ________________________________
This Book is From: __________________________________________________________________
Date: (Optional: ex. May, 2001) _____________________________________________________________
******************************************************************************************************
Additional Information for My Baby Book (Optional)
Date of Birth: ___________________________ Time of Birth: _______________________ A.M / P.M.
Baby's Weight: _____________________ (pounds/ounces) Baby's Length _________________ in.
Delivered By: _____________________________ Hospital: ___________________________________
Mom's First Name: _________________________ Dad's First Name ____________________________
|
ORDER TOTAL (REMEMBER, ONLY ONE BOOK PER ORDER FORM; 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
|
$ ___________
|
($2.25 for each 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:
(MAKE CHECK OR MONEY ORDER PAYABLE TO:)
Brighter Learning
181 Honey Hill Lane
Woodland Park, CO 80863
719-687-0437
Call/E-mail for FREE Descriptive Brochure