Baby rental order form

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Baby Equipment Rental

Local # 954-455-7420 or Toll Free 1-877 - BABY (1-877-580-2229)

Baby Equipment & Supplies

Order Form

Please fill out the form below.If you have any Questions please enter them in the "Coments box at the bottom of the form and click on "submitt".We are here to help you.Just fill out as much of the form as much as possible and click on "submitt" ,we will contact you .There is no need to enter credit card info.at this time. If you like we can take your payment information over the phone.Feel free to call or e-mail us.

info@awaybabycare.com

Name
Home Address
City/State/Zip
Delivery/Address
City/State/Zip
Home Phone
Cell Phone
Work Phone
Local Phone:
Nearest Cross Street
Delivery Date
Delivery Time
Pickup Date
Pickup Time
Email Address
Age of Child#1
Age of Child #2
Credit Card Type:
Choose Stroller Type
Quanity
Cribs (Full Size)
Car Seats
Booster Car Seat
Infant Carrier
Swings
High Chairs
Baby Monitors
Spring Float
Portable Childrens Cabana
Saftey Gates
Box of Toys
Childrens Life Vest
Exersaucer
Bouncy Seat
"Pak & Play"
Infant Tub
Bed Rails
Individual Toys add Pic. Title
Baby Care Pak (Tell us what you need below)
Enter Items you would like in the "Baby Care Pak"
Additional Items & Special Requests

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