Book Themes are the design.efficiently version of a client presentation template.
To get started with customizing a Book Theme and creating your subsequent Book Layouts, follow along in the video below. You'll also want to take a moment to check out the article on Creating Item Boxes, to get the most out of your design books.
For more information on Themes and Book Layouts, refer to the following articles: Admin Step 2: Add Themes to Org and Creating Book Layouts.