ONLINE RESERVATION FORM

YOUR RESERVATION WILL NOT BE AUTOMATICALLY CONFIRMED!
WE WILL CALL YOU BACK TO CONFIRM YOUR ORDER

NAME:

HOME ADDRESS:

CITY:

STATE:ZIP: 

HOME PHONE:                                                       CELL:

DELIVERY ADDRESS:
IF DIFFERENT - DON'T FORGET UNIT #

CITY: 
 
DELIVERY DATES:  FROMTO


IS THIS A RENTAL PROPERTY?

RENTAL AGENT OR KEY- HOLDER

AGENT OR KEY-HOLDER PHONE NO.:



ITEMS TO BE ORDERED:
 
QUANITY

FULL CRIB 
              * YOU ARE REQUIRED TO USE A 
      PORTA-CRIB                      WATERPROOF MATTRESS PAD
 
PACK & PLAY
.
BASSINET

TODDLER BED   BEACH CABANA
BED RAIL (1)EXERSAUCER

HIGH CHAIR WALKER

BOOSTER SEAT - NO TRAYBOUNCY SEAT

BOOSTER SEAT W/ TRAY   SWING

CAR SEAT - INFANT     GATE 28" - 42"

CAR SEAT - TODDLER GATE 29.5" - 50"

CAR SEAT - HIGHBACK BOOSTER    GATE 38" - 60"

CAR SEAT - BOOSTER BASE ONLY   SUPER YARD

JOG STROLLER SINGLE      RAIL NET

JOG STROLLER DOUBLE     POTTY CHAIR

STANDARD STROLLER POTTY SEAT

DOUBLE S/S STROLLER      INFANT BATHTUB 

DOUBLE TANDEM STROLLER             MONITOR    

TRAVEL SYSTEM TRICYCLE W/HELMET
(INFANT CAR & SNAP-N-GO)
     PUSH TRICYCLE
WAGON (FOR 2)


DELIVERY REQUESTED:

PICK UP: 
   


COMMENTS:






BILLING INFO: *WE REQUIRE A 50% (REFUNDABLE) DEPOSIT TO CONFIRM YOUR ORDER



CARD NUMBER:

EXPIRATION DATE:

NAME ON CARD (IF DIFFERENT)

BILLING ADDRESS:

CITY:                                             STATE:                                        ZIP:


YOUR E-MAIL:

*WE WILL BE CONTACTING YOU SOON TO GIVE YOU YOUR FINAL
   PRICE AND TO CONFIRM YOUR RESERVATION.
NAPLES
MARCO ISLAND
BONITA SPRINGS
CHECK HERE FOR "NO LINEN"
WATERPROOF PAD ONLY
VISA
MASTER CARD
AMERICAN EXPRESS
DISCOVER
YES
NO
YES
NO
YES
NO
GIRL
BOY