Baby Keepsake Order Form Contact Name*Phone*Email Address* Order InformationCharacter(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)*12345Baby's Name* First Last Birth Date* Date Format: MM slash DD slash YYYY Birth Time* : HH MM AM PM Length in inches*Weight - lbs/oz*CommentsUpload Baby Picture Drop files here or Accepted file types: jpg, gif, png, pdf. Captcha