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:  FROM  TO                              (please read Delivery info page!)


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  WATERPROOF MATTRESS PAD
      PORTA-CRIB
                    
 
PACK & PLAY

.
BASSINETBEACH CABANA


TODDLER BED EXERSAUCER
 

BED RAIL (1)    WALKER


HIGH CHAIR     BOUNCY SEAT


BOOSTER SEAT - NO TRAY    SWING


BOOSTER SEAT W/ TRAY      GATE 28" - 42"
 

CAR SEAT - INFANT GATE 29.5" - 50"
  

CAR SEAT - TODDLER     GATE 38" - 60"


CAR SEAT - HIGHBACK BOOSTER SUPER YARD

 
CAR SEAT - BOOSTER BASE ONLY       RAIL NET

 
JOG STROLLER SINGLE  POTTY CHAIR
    

JOG STROLLER DOUBLE POTTY SEAT
   

STANDARD STROLLER     INFANT BATHTUB


DOUBLE S/S STROLLER   MONITOR
      

DOUBLE TANDEM STROLLER  TRICYCLE W/HELMET
               

TRAVEL SYSTEM      PUSH TRICYCLE (INFANT CAR & SNAP-N-GO)

         CHANGING PAD
WAGON (FOR 2)

ABC DELIVERY REQUESTED:


ABC 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:


*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