Mailing Information:

Your Name:                                          

 Your Address:     

City/State/Zip:      

E-Mail/Phone:      

Ship-To Information if different from above:

 Name:                                                  

 Address:              

City/State/Zip:      

E-Mail/Phone:      

Certificate Order Options:  (All certificates are done of 8 1/2" X 11"Parchment Paper)

The prices below include shipping and handling charges.  PA residents only need to add 6% Sales Tax.

Choose Your Birth  Certificate                                         Non-residents                       PA residents Certificate - Plain (You Fill Out)                                             $11.95         6% Sales Tax :  $12.31 Certificate-Plain (No Picture Background)                          $15.95                                      $16.55 Certificate - Plain (With Picture Background)                     $25.95                                      $27.15 Certificate - Framed (No Picture Background)                   $33.95                                      $35.45 Certificate - Framed (With Picture Background)                $43.95                                      $46.05

Complete the information below  if you chose a personalized certificate

 If you picked a framed certificate:   

Choose Color of Frame Light Wood Frame Dark Wood Frame                             Choose Color of Matte Green Double-Matte Burgundy Double-Matte

Certificate Information:

Name on Certificate:  

Gender Boy Girl

Father's Full Name:  

Mother's Full Name (include maiden name)

Name of Hospital:

Location of Hospital:  City: State:

Date of Birth:  Month January February March April May June July August September October November December      Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31       Year: 

Weight at birth (exp.6lbs. 10oz.):

Length at birth (exp.19.5inches):

Day of week born Monday Tuesday Wednesday Thursday Friday Saturday Sunday    Time of day: (format hh:mm) AM PM

Did you pay through PayPal?      Yes           No

HOW TO ORDER

1. Fill out all the information and press the Submit Button.

2. If you want a Certificate With a Picture, you may either:

               a. E-Mail your picture to us at llb@lindascreations  or

               b. mail it to us along with your check or money order

               c. Your picture should be a professional photo or a good

                    snapshot.  (It will be returned to you with your order.)

3. Enclose check or money order for the price listed above.

4. Mail to:  Linda's Creations, 210 Rose Hill Road, Ephrata, PA 17522

5. Please contact us if you have any questions.

Privacy and Refund Statement:  This personal information is strictly confidential and will not be provided or sold to anyone.  You may return your merchandise in its original condition within 30 days of receipt.  You will receive a full refund (except for shipping).  Shipping is not refundable.