ENTER SPECIFICS BELOW...THEN PRINT Family Format Spine Form Choose Imprint ColorGOLDSILVERPINK (white covers only)BABY BLUE (white covers only) Choose Imprint Option...Upper Spine Imprint only_ $13.00Upper and Lower Spine imprint_ $17.00 Will be imprinted in Script Font Enter Surname A Maximum of 12 characters are allowed per line The Family Album If Lower spine option was selected . . . enter lower spine wording Maximum 14 characters per line Lower Spine Wording _________________________________________ ENTER SPINE COVER STYLE AND COLOR: Cover Size.12 X 1215 X 128.5 X 118 X 87 X 75 X 7Cover Brand.* Creative MemoriesWestrim Strap-hinge LeatherClose to My Heart LeatherClose to My Heart Sim LeatherWebway Straphinge Enter cover color- _________________________________________ PRINT this form and place with corresponding SPINE cover Previous Page Note: To CLEAR fields, use the REFRESH button on browser One GSC SUMMARY FORM is required per order shipment * See LIMITATIONS copyright GoldStamp Inc 2005