Birth Mirror Square

Name *

Date of birth *

-010203040506070809101112 -01020304050607080910111213141516171819202122232425262728293031 -2008200920102011201220132014201520162017201820192020

Time of birth *

-010203040506070809101112 : -000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM

Weight (pounds) *

Length (inches) *

Engraving *

-- Please Select --0011: Mother and child 0021: Stork-1 0022: Stork-2 0023: Stork-3 0031: Child with bear-1 0032: Child with bear-2 0033: Child with bear-3 0034: Child with rabbit 0035: Bear on the moon 0041: Girl behind pram 0042: Kids 0043: Kid with baby 0051: Harley baby-1 0052: Harley baby-2 0053: Just born 0054: Baby egg 0061: Hands 0071: Twins-1 0072: Twins-2 0073: Twins-3 0081: Dolfins 9999:My own image (upload) +$15.00

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Font styles *

-- Please Select --1:Arial 2:Bauhaus Md BTI 3:Comic Sans MS 4:Lucida Handwriting 5:President 6:Ribbon 131 Bd BT 7:Script MT Bold 8:Shelly Allegro BT 9:Times New Roman 0:ZapfChan MdIt BT X:Custom Font (specify in Engraving Instructions) NO Text Engraving

Select size *

• Mirror 8"x8"
• Mirror 12"x12" +$37.50
• Mirror 16"x16" +$67.50

Hanging Kit *

-- Please Select --E04 - Fits sizes: 8"x8", 12"x12" and 16"x16" +$7.95E08 - Fits size: 24"x24" +$12.95NO hanging kit

Engraving Instructions

* Required Fields