Web Order Form

Please submit this form once for EACH book ordered

To order, please see the list of Personalized books, choose the book you wish to purchase and click "Add to Cart" then "Submit Order." The "Submit Order" button will bring you back to this page for each book purchased. Once you have finished shopping, you can "View Cart" from any page and procede to check out.

If you are mailing a check to Brighter Learning or would like us to email you a PayPal Invoice, you may submit this form and then mail in a check or email if you would prefer us to send you a Pay Pal Invoice.

If you are paying through PayPal

Purchaser Name Purchaser Email or Phone

(If you have a order form with an 8 digit number at the top left column, please type in that number.)

If applicable, Brochure Location or Number

BOOK LANGUAGE and TITLE (Language the text will be written in and the title of the selected book).

English Text / Title Spanish Text / Title

First Name: Middle Name (Optional): Last Name:
Nickname (Optional: after 1st page, program uses nickname throughout book):
Gender: Female Male Age (optional):
Hometown and State (ex., Woodland Park, Colorado):
Three Friends, Relatives, Pets, etc. that you want listed in the story (max combined length including commas and spaces is 55).
Message (ex, With Love! or Happy Birthday: Max 35 characters):
This Book is From (Max 35 Characters): Date (opt'l: exact or mo/yr):

If you are ordering My Baby Book, Football Star, G-o-o-oal, or School is Fun, please continue below in the appropriate area.

Additional Information for My Baby Book ONLY

VERSION: Two-Parent        Mother Only      Father Only

Date of Birth:   Month       Day     Year

Time of Birth:      AM    PM

Baby's Weight: Pounds    Ounces
   Baby's Length (Inches):

Delivered By:    Hospital:

Mom's First Name (If Applicable):       Father's First Name (If Applicable):

Additional Information for Football Star / G-o-o-oal Soccer (optional)

Favorite Players:

Winning Team:    Losing Team:

Additional Information for School is Fun ONLY (optional)

Teacher's Name:    School Name:

PAYMENT:    PayPal – Please send PayPal Invoice – PayPal account not required

     PayPal – Using Shopping Cart

     Mailing Check/Money Order

           (Brighter Learning, 181 Honey Hill Ln, Woodland Park, CO 80863)

     Redeeming Gift Certificate:   Amount     Code

Would you like to be on our Mailing List?    Yes How would you like to receive Specials

                                                                         No     Already on List

Information is NEVER sold, traded or given to another party.

SHIPPING ADDRESS:



Comments:



PLEASE VERIFY ALL INFORMATION ON FORM BEFORE SUBMITTING.

If Customer makes a mistake, we will reprint at a Lesser Cost.

Satisfaction Guaranteed - Full Refund less S/H if returned within 30 days.

FREE Photo Frame Sticker with each Book Purchase.


	Web Order Form Please submit this form once for EACH book ordered To order, please see the list of Personalized books, choose the book you wish to purchase and click "Add to Cart" then "Submit Order." The "Submit Order" button will bring you back to this page for each book purchased. Once you have finished shopping, you can "View Cart" from any page and procede to check out. If you are mailing a check to Brighter Learning or would like us to email you a PayPal Invoice, you may submit this form and then mail in a check or email if you would prefer us to send you a Pay Pal Invoice. If you are paying through PayPal Purchaser Name Purchaser Email or Phone (If you have a order form with an 8 digit number at the top left column, please type in that number.) If applicable, Brochure Location or Number BOOK LANGUAGE and TITLE (Language the text will be written in and the title of the selected book). English Text / Title Spanish Text / Title First Name: Middle Name (Optional): Last Name: Nickname (Optional: after 1st page, program uses nickname throughout book): Gender: Female Male Age (optional): Hometown and State (ex., Woodland Park, Colorado): Three Friends, Relatives, Pets, etc. that you want listed in the story (max combined length including commas and spaces is 55). Message (ex, With Love! or Happy Birthday: Max 35 characters): This Book is From (Max 35 Characters): Date (opt'l: exact or mo/yr): If you are ordering My Baby Book, Football Star, G-o-o-oal, or School is Fun, please continue below in the appropriate area. *Additional Information for My Baby Book* ONLY VERSION: Two-Parent Mother Only Father Only Date of Birth: Month Day Year Time of Birth: AM PM Baby's Weight: Pounds Ounces Baby's Length (Inches): Delivered By: Hospital: Mom's First Name (If Applicable): Father's First Name (If Applicable): Additional Information for Football Star / G-o-o-oal Soccer (optional) Favorite Players: Winning Team: Losing Team: Additional Information for School is Fun ONLY (optional) Teacher's Name: School Name: PAYMENT: PayPal – Please send PayPal Invoice – PayPal account not required PayPal – Using Shopping Cart Mailing Check/Money Order (Brighter Learning, 181 Honey Hill Ln, Woodland Park, CO 80863) Redeeming Gift Certificate: Amount Code Would you like to be on our Mailing List? Yes How would you like to receive Specials No Already on List Information is NEVER sold, traded or given to another party. SHIPPING ADDRESS: Comments: PLEASE VERIFY ALL INFORMATION ON FORM BEFORE SUBMITTING. If Customer makes a mistake, we will reprint at a Lesser Cost. Satisfaction Guaranteed - Full Refund less S/H if returned within 30 days. FREE Photo Frame Sticker with each Book Purchase. ©Best; ©2009 Sesame Workshop; ™&©DC Comics; ©Warner Bros.; ©Hanna-Barbera; ©Miramax Film Corp.; © Paws, Inc.**