Personalized Anniversary Book

Order Form
#528-A_ Anniversary Book - $24.95

Name of Book:

Stock Number:

Price:

Instructions:
FILL OUT this form, then PRINT the form if possible
Click SUBMIT Button to send this form to us
Click RETURN to this form, then.....
Click SHOPPING CART below to submit payment.

Type information in spaces provided below.

Use separate forms for each person you are ordering books for.
This book is prepared for adults.

SELECT VERSION

Standard Version: Humorous Version:

WIFE'S INFORMATION:

First Name:	(Given Name)
Name to be used in story:	(If not First Name)
Last Name:

HUSBAND'S INFORMATION:

First Name:	(Given Name)
Name to be used in story:	(If not First Name)
Last Name:

WEDDING INFORMATION:
Date Married:
Wedding Location:	(Optional
Honeymoon Place:	(Optional
First Home:	(Optional
Anniversary Date:
Years Married:
First Names Only
Children:	(Optional
Grandchildren:	(Optional
Great-Grandchildren:	(Optional
Dedication
Dedication Phrase:	(ie. with Love From, etc.)
Dedication Date:	(Book given or received)
Book Given By:	(ie...Mom and Dad, etc.)

Customer Information:

Your Name:

Email Address:
Phone Number:

When all entries are completed, please correct all mistakes before clicking on the Submit Button below. This form is sent to us automatically by E-mail when you click on the Submit Button.

You must return to this form to submit payment below.
Otherwise, this order will not be processed.

MasterCard, Visa, Discover & American Express Accepted
Read our policy of accepting credit cards in shopping cart.

Two Ways to submit payment:

1) You can pay online by clicking on shopping cart below.

2) If you prefer to give us your credit card information
by phone, you can call us at 1-479-434-6426.

If you pay by Visa, MasterCard or American Express
Your order will be processed within 72 hours.

If you pay by personal check
Your order will not be processed until the check clears.

If you have questions, please e-mail:
Martha Ghearing

Send checks or money orders to:

Check shipping rates below to add shipping charges to your payment before mailing, or add $4.00 for the 1st book and $1.50 for each additional book.

Bee A Star Books & Gifts
8708 Meadow Dr.
Fort Smith, AR 72908

Thank You for your order