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Step 1 of 2: Please provide information for your custom baby plate by 

filling out the following form and clicking the submit button at bottom.

After submitting the form, you will be taken to our PayPal payment page.

 

                   

            Original             Sunshine             Angel           Boy Angel

               Plate                  Plate                 Plate                Plate   

Please check off which item you would like to order
     Original Plate  Sunshine Plate           Angel Plate   Boy Angel Plate                              

Please complete all lines below and submit form.

Baby Stats Information:
First Name
Date of Birth
Time of Birth   AM  PM
Day of Week
Weight Lbs.Oz.
Inches
City
State
If non-US, please select "Other" above and fill in below.
Other
 

Ordered By Information:

Full Name
Address
City
State
Other
Zip Code
Phone
Email
 

Ship To Information:

Full Name
Address
City
State
Other
Zip Code
Date Ordered
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