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PRINTABLE MAIL ORDER FORM |
Ordering your personalized books is EASY
at Jumpin' Jungle!
Fill out the appropriate information and mail to Jumpin' Jungle at the address shown below. |
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PRICES:
My Baby Book. . . . . . . . . .$ 13.25
Giant size books. . . . . . . .$ 13.25
Deluxe size books . . . . . . $ 10.50
Christmas/Easter Letters. . . $ 2.25 (postage paid)
Photo Sticker . . . . . . . . .$ .50
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Mail and Make Check Payable To:
Jumpin' Jungle
20 Barbara Lane
Oakhurst, NJ 07755
FAX (732) 923-9185
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Shipping/Handling: Add $2.00 for the first book, $1.00 each add'l book.
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Please check off one book per order form |
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Please enter the following information as you would like it
to print in the book.
PLEASE, PLEASE, PLEASE print clearly!
First Name:____________________________________
Middle Name (optional)_________________________
Last Name:_____________________________________
Nickname (optional):___________________________
Please note that Nicknames, when specified, will appear throughout the entire story.
Age (optional):_______ Boy or Girl?___________
Hometown:_______________________________ State:_______________
Three Friends or relatives: 1)___________________________________
2)___________________________________
3)___________________________________
Dedication: Maximum 35 letters and spaces.
(i.e. Happy Birthday, With Love) NOTE: if nothing is specified, "With Love" will be used
_________________________________________________________________
This Book is From:_______________________________________________
Additional information needed for My Baby Book ONLY
Date of Birth:__________________________ Time of Birth:____________ AM / PM Baby's Weight:______ pounds ______ ounces Length:_____________ inches Doctor's Name:_________________________ Hospital Name:_____________________ Mom's First Name:______________________ Dad's First Name:__________________
Additional information needed for School is Fun ONLY
Teacher's Name:______________________ School:_____________________________
Additional information needed for Goooal! ONLY
Winning Team:________________________ Losing Team:________________________ Favorite Player:_____________________
Order Total (remember, only one book per order form!):
Cost of item $__________ ($10.50 / $13.25 / $2.25 see above)
Photo sticker $__________ (Optional $.50 each)
Shipping/Handling $__________ ($2.00 first book, $1.00 each add'l book)
Subtotal $__________
Sales Tax (7%) $__________
TOTAL ORDER $__________
If your order is eligible for a discount promotion, please enter your Promotion Code here:___________
Billing Information: Name:__________________________________________ Address:_______________________________________ City:__________________________________________ State:__________________ ZIP:__________________ Phone:________________ E-mail:_________________ Check enclosed:_______ American Express:______ Cardholder Name:_______________________________ American Express Card #:_______________________ Expiration Date:_______________________________ Signature:_____________________________________ Telephone #:___________________________________ |
Shipping Information: Name:________________________________________ Address:_____________________________________ City:________________________________________ State:__________________ ZIP:________________ Phone:________________ E-mail________________ |
If selected above, you hereby authorize Jumpin' Jungle to
charge your American Express card the full amount of the total order.
In order to ensure accuracy of personalized products, phone number and
e-mail address are necessary to handle
questions we may have regarding your order.
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