03/06/08

Reservation for Stork Rental SEE BELOW FOR INSTRUCTIONS ON FILLING OUT FORM

Your Name: ___________________________

Street Address/City:_____________________

Your Phone #:__________________________

Your email address:_____________________

How will you pay (Visa/Mastercard/Discover or personal Check)?:_______________    (Don't give card # now-we will get it from you over the phone when calling in the Baby information)

What is the best way to contact you before delivery if needed?_______________

Name of Person(s) Stork Sign is  for:______________

Due Date:___________________________________

Baby's Gender (it's a surprise/ Boy /Girl):__________

Baby's Full Name (if you've already decided on one it really helps us out to know it in advance)

___________________________________________

Delivery Address:____________________________

Delivery Phone #:____________________________

Is Stork Yard Sign for 5, 7 or 10 days?: __________

Is this a surprise?:_________________ (we won't call Recipient until after stork has been delivered).

Any extra comments:__________________________________________________________

Where did you hear about us? ___________________________________________________(Business Card, friend, referral, business displaying our card, Dr.'s office, phonebook, etc...)

 Be sure to take our phone number to the hospital with you and give us a call when the baby is delivered with Name, Date Born, Length, Time & Weight of baby.  Or if this is a gift make sure to call us ASAP with all the information! We will deliver the new baby arrival stork sign within 1 business day of your confirmed order (in most cases sooner than that!).

 813 294-0570

Thank you for your order!

Please call in your Reservation Now to 813 294-0570.  Email instructions below.

If you would prefer to email this information in, Just copy the above text with your mouse, click here next to email ( a message box will pop up) and then paste the text into the email window.  Answer questions and send.  Thank you for your order!