Invoice to be made out to : Please provide Full Name and Surname

Postal Addres

Postal Code

Tel/Cell

E-mail Address

Gender of Child

Date of Birth

Age of Child

First Name(s) in full

Surname

Nickname

Hometown

Date book given

Friend’s (to be added into story) : Friend 1

Friend 2

Friend 3

Messsage (e.g. With love, Happy Birthday, Congratulations, Met al ons liefte, Beste Wense etc)

Book From (e.g Mommy & Daddy, Granny, Aunty Sue etc)

Standard Books : Select your title:

School Fun Book  :

Name of School

Teacher

The Sports Book :

Game Played

Coach’s Name

For my Special “Mom”  

Favourite dish

What child calls “Mother”

Mother's Eye colour

Fishing Adventure

Fishing Spot

Fishing Partner (other than friend)

Tackle Shop

Other comments or queries