All Baby Needs

Baby & Toddler Equipment Rental

 

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All Baby Needs Online Order Form

           

Delivery Day:            Delivery Date:           

Pick Up Day:           Pick Up Date: 

ORDER DELIVERY INFORMATION

This location is a:  Hotel  Residence   Other     If Other, please specify: 

Name of Hotel, if applicable:    Name Used on Reservation: 

Address:
City, State & Zip:
Delivery Location Phone:
Alternate Phone (preferably cell phone):
Nearest Cross Streets (if known):

CONTACT INFORMATION (* Required Fields)

*Name:

 

*Address:

 

*City, State, Zip:

 

*Home Phone:

 

Alternate Phone:

*Email address:

 

CHILDREN USING THE EQUIPMENT (this information is needed for safety reasons to ensure child meets age and weight requirements provided by the manufacturer)

First Name

Gender

Age (if under 2, please state in months)

Weight

*HOW DID YOU HEAR ABOUT US?   

EQUIPMENT RENTED (Indicate quantity in box beside requested items)

Packages (Package choices will be verified at time of telephone confirmation; please indicate quantity)
  All Baby Needs Package (1 week)   All Baby Needs Package (1 weekend)
  Baby Package (1 week)   Baby Package (1 weekend)
  Toddler Package (1 week)   Toddler Package (1 weekend)

 

Furniture & Equipment (specify quantity)
  Full Size Crib   Portable Crib
  Portable Mesh Crib   Pack N Play w/ Bassinet & Changing Stn
  Toddler Bed   Infant Car Seat/Carrier (5-20 lbs)
  Convertible Car Seat (5-20 lbs)   High Back Car Booster Seat (40-60 lbs)
  Backless Car Booster Seat (40-100 lb)   Travel System (stroller, car seat, base)
  Full size Stroller   Travel Stroller
  Umbrella Stroller   Sit N Stand Double Stroller
  Double Umbrella Stroller   High Chair
  Space-Saver High Chair/Booster  

 

Accessories (specify quantity)
  Stationary Activity Table   Exersaucer
  Baby Swing   Bouncer Seat
  Jumperoo   Baby Floor Gym
  Portable Safety Gate   Super Yard
  Snugli Baby Carrier   Baby Monitor
  Child View Baby Monitor   Humidifier warm  cool
  Baby Bathtub   High Chair Mat
  Bottle Warmer   Bed Guardrail
  Stepstool   Bedding (bumper, sheet, mattress pad)
  Potty Chair   Child's Table with Two Chairs

 

Toys (specify quantity)
  Toy Basket (0-8 mos)   Toy Basket (8-23 mos)
  Toy Basket (2-3 yrs)   Toy Basket (3-4 yrs)
  Toy Basket (4-5 yrs)   Musical Crib Toy
  Push & Ride Toy   Wagon
  Play Tent   Pop-Up Ball Pit
  Baby Doll Basket (3 yrs +)   Barbie House w/ Dolls (3 yrs +)
  Dress-Up Play Basket (3 yrs +)   Vehicle Basket (3 yrs +)
  Car Basket (4 yrs +)   Building Blocks Basket (3 yrs +)
  Outdoor Games Basket (3 yrs +)   Outdoor Baby Swing
  Preschool Games Basket (3 yrs +)   Family Games Basket (6 yrs +)
  Children's Movies Basket  VHS  DVD   Children's Books Basket    Enter age

 

For the Older Siblings (specify quantity)
  Playstation Package (system, 2 games, 1 controller)   Playstation 2 Package (system, 2 games, 1 controller)
  Extra Playstation Games   Extra Playstation 2 Games
  Extra Playstation Controller   Extra Playstation 2 Controller
  Twin Size Inflatable Bed   Queen Size Inflatable Bed

 

Baby Supplies (specify quantity & size)
  Huggies Jumbo Pack (size:  )   Pampers Jumbo Pack  (size:  )
  Pullups  (size:  )   Little Swimmers  (size:  )
  Baby Wipes   Bibsters  (size:  )
  Bathtime Package  

 

Additional Services
Please indicate any items you would like us to purchase for you.  A 25% convenience fee applies.

 

Other Information or Special Instructions

 

Please click the "submit" button below to send your order.  We will contact you within 24 hours to confirm your order, obtain additional details and arrange for delivery, setup and pickup.  We will also provide a total and confirm payment information.  If you need immediate confirmation, please contact us at (309) 697-1570.  Thank you!

 

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