Please Complete the order form below
Burgundy Keepsake Box
Opening line: eg. To a special little girl/boy (or any other wording you prefer)
Christian Name to appear in large lettering eg: ' Jack's' Keepsake Box
Baby's Full Name
Baby's Date of Birth
Baby's Time of Birth
Place of Birth
Baby's Weight
Personalised message to appear within photo frame
Your email Address
IMPORTANT - PLEASE TICK THE UK OR US OPTION ON THE NEXT PAGE - THANK YOU THIS IS REQUIRED TO CALCULATE THE SHIPPING CHARGES NO EXTRA POSTAGE CHARGES WILL BE ADDED FOR UK DESTINATIONS £10.00 extra will be added for US postage