10th BIRTHDAY- CUSTOMIZATION FORM
Your Name:
*
First Name
Last Name
Your E-Mail Adress:
*
Phone Number (this is the number given to UPS/FedEx and will not be used by me)
*
-
Area Code
Phone Number
When do you need it by?
*
DATE
Child's Name + Birthday
*
Name + date you want shown.
Confirm Collage Shape/Number
*
ex: 1, 2, 5, etc.
FAVORITES SECTION
Everything below is optional- fill in the ones you want to use.
Favorite Book:
Favorite Food:
Favorite Song:
Favorite Music:
Favorite Sport:
Favorite Color:
Favorite Things:
Favorite People:
Favorite Places:
Loves to:
Weight | Height | Teeth
*OPTIONAL
Background Color
Chalkboard Black
Textured Black
Textured White
Custom Color
Additional Design Notes:
Any other information....
Exact # OF PHOTOS : I need to make sure I received what you sent.
*
# of photos sending in
Photo Release
*
Yes, I grant permission for Your Life, My Design by Lali to use my collage for marketing and promotions. - It's truly how I share my designs with the world!
Decide Later
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