Babies On-The-Go :: Order Form

To order, simply fill out the form below. Of course you can always call us, send a fax or e-mail. We will contact you within 24 hours to confirm your order and obtain your Visa/Mastercard information or call us and we will be happy to take your order over the phone. Online orders must be placed 48 hours prior to delivery time. Subject to availability:

Local: (503) 246-BABY (2229).
Toll-Free: (888) 677-BABY (2229).
To fax in your order, print this form.
Fax it to (503) 246-3502.
E-mail: info@rent4baby.com.

Thank you...we look forward to hearing from you soon!

Customer Information:

Customer Name:
Mailing Address:
City:
State:
Zip:
Your E-Mail Address:
Home Phone:
Business Phone :	ext.
Child 1:
Age:
Weight (lbs.):
Sex:	Girl or Boy
Child 2:
Age:
Weight (lbs.):
Sex:	Girl or Boy

Delivery Information:

Delivery Date:
Time:
Pick-Up Date:
Time:
Delivery Address:
City:
State:
Zip:
Hotel/Motel Name:
Reservation Name:
Phone:	ext.

Rental Items :

# of Items:
Item Description:
# of Items:
Item Description:
# of Items:
Item Description:
# of Items:
Item Description:

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