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BABY TRAVELS EQUIPMENT RENTAL
Website Order Form
       
Order Date:
Delivery Day:
Delivery Date:
Delivery Time:
Pick Up Day:
Pick Up Date:
Pick Up Time:
ORDER DELIVERY INFORMATION
This location is a:
  Hotel Residence Other
(If Other, please specify)
Name of Hotel, if applicable:
If reservation required where you are staying, enter name used on reservation:
Address:
City, State & Zip:
Delivery Location Phone:
Alternate Phone:
(Cellphone is preferable if available)
Nearest Cross Streets (if known):
CONTACT INFORMATION (* Required Fields)
*Name:
*Address:
*City, State & Zip:
*Home Phone:
 Alternate Phone:
* E-mail Address:
(An order confirmation will be sent to the address you provide)
CHILDREN USING THE EQUIPMENT
(This information is needed for safety reasons to ensure child meets age & weight requirements provided by the manufacturer)
First Name
Gender
Age
(If under age 2, please
state age in months)
Weight
Male Female
Male Female
Male Female
Male Female
Male Female
HOW DID YOU HEAR ABOUT US?
EQUIPMENT RENTED Indicate Quantity
PACKAGES (Package choices will be verified at time of telephone confirmation)
(Cribs and pack-n-plays include 1 fitted sheet, 1 blanket)
Deluxe Infant Week Package* Deluxe Toddler Week Package*
Basic Infant Week Package* Basic Toddler Week Package*
BEDTIME
(Cribs, pack-n-plays and toddler beds include 1 fitted sheet, 1 blanket)
Full Size Crib * Portable Crib (Hotel Size)*
Pack-N-Play * Toddler Bed *
Bed Rail Dressing/Changing Table
Glider Rocker & Ottoman Crib - Portable Play Pen
*
 Room Location for Bed/Crib Placement:
ON THE GO
Infant Car Seat Carrier with base Convertible Car Seat
Child Booster Car Seat with Harness Infant Car Seat Cozy Cover
Child Booster Car Seat - No Harness Jogging Stroller
Stroller - Full Size Travel System Double Tandem Stroller
Stroller - Umbrella Stroller - Double Umbrella
EATING
High Chair High Chair Spill Mat
Feeding Booster Feeding Pillow
Bottle Warmer Picnic Table
PLAYING
Exersaucer Walker
Swing - Portable Bumbo Seat
Bouncer Seat/Rocker    
Tricycle Wagon
ACCESSORIES
Infant Bath Tub Step Stool
Safety Gate Baby Monitor
OTHER INFORMATION OR SPECIAL INSTRUCTIONS:
 
Order form can be printed and faxed or submitted online. We will contact you by phone to confirm your order and make payment arrangements.