Baby Keepsake Order Form

Contact Name*
Phone*
Email Address*
Order Information
Character(s) Number*
Choose up to 5 of your favorite character numbers from 1-272. For multiple items - please separate with comma.
Total Number of Character(s)*
Baby's Name*
First Last
Birth Date*
Date Format: MM slash DD slash YYYY
Birth Time*

: HH

MM
Length in inches*
Weight - lbs/oz*
Comments
Upload Baby Picture
Drop files here or

Accepted file types: jpg, gif, png, pdf.
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Order Information