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Grant County's Cutest Baby Book Order Form

Books are priced at $3.00 each. You will be notified when the books are ready for pick up.

1. Contact Information

First Name*
Last Name*
Address1 (must match credit card billing address)*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Age*
under 13 13-17 18-34
35-49 50-64 65 or older
The Children's Online Privacy Protection Act (COPPA) requires us to ask you the above question about your age. If you have any questions about COPPA, please see our Terms of Service.

NOTE: all fields with a red asterisk ( * ) are required


2. Quantity

Books are $3.95 each.
How many copies would you like to order?
Total cost:

3. Payment Information

Credit Card*
Credit card number:*
Expiration date:*
CVV# (VISA/MC):* what's this?
Name as it appears on credit card:*

4.



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