$42.50

Thank you for your order

Example:  Bill and Mary Smith

Baby's Birth Plaque

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If you have a photograph you wish us to use, please e-mail it to: order@creative-ink.org in

jpg. format.

PLAQUE INFORMATION

Customer Name:

Street Address:

City:

State:

Zip:

Phone:

Date of Birth:

Baby's Name:

Time: of Birth:

Weight:

Length:

Place of Birth:

Hospital:

City:

Parent's Names:

Special Instructions:

Fill out the form below and press the submit button only once at the bottom of this page.  Next pay for the item(s) by clicking on the "Buy Now" button under the price of the item at right.

E-mail Address

Pay Here