TO PLACE ORDER
Please copy this form to your email address and fill in the blanks. If you do not wish to email, then simply print this form,
fill it out and mail it to Jan Trautmann, 108 Cedar Bluff, Springfield, Mo. 65630.
Baby Plate Order:
Plate Motif : Choice from one of our 35 designs listed
in our above index and list the plate motif by name. (i.e. Bootie plate, Baseball, etc.) ________________________________________
Child's Name _____________________________
Plate size: _____11" ___9"
Plate Edge: Solid __________; Checked _______
Plate Shape: Round _______;
Ruffled_________
Edge color: Soft pink______; Bright
pink______,
Soft blue______; Bright Blue______
Custom color___________________
Child's name in verse (i.e. God so loved (name) (if you use
John 3:16 verse)_____________________
Scripture: (please include reference)____________
_________________________________________
Baby Stats:
DOB: Day____Month___Year_______
Weight: ________________ Length:__________
Time: __________________
Parents names: (Optional) _______________________________
Saluations on back of plate: (15 words or less)
_____________________________________________________
Mailing address: (to client or to Recipient)
___________________________________________________
___________________________________________________
___________________________________________________
Customer name ________________
Address: ______________________
______________________________
Contact phone numbers, should I have a question on your order)
____ ________________________________________
Email address:__________________________________
WEDDING PLATES:
Plate Centers: Spring Floral_____ Fall Floral_____
Door Center Motif____
A Cord of Three Strands (Grape Design) _______
Church: ___________
Name of Couple _____________________________________
Date of Wedding:____________________________________
Scripture: (please include reference): __________________________________________
__________________________________________
Back Salutation: ____________________________________
___________________________________________________
Mailing address:_________________________________________
_______________________________________________________
Customer contact numbers in case I have a question on your order: _____________________
Email Address: _________________________________________
Please contact us at 417-443-0030 if you have any question
concerning your order. Thank you again for thinking of us for this special gift.
