Baby Getaway Online Reservation Form

BABY GETAWAY RESERVATION FORM
Orders beginning next day should be made by phone to confirm availability.
Rental Start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Rental Start Time

:HourMinutesAM/PM Option
Rental End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Rental End Time (not flight time)

:HourMinutesAM/PM Option
Full Name
Billing Address
City
Province/State
Postal/Zip Code
Country
Phone Number
Phone Number

Country CodeArea CodePhone Number
Alternate Number
Alternate Number

Country CodeArea CodePhone Number
Email
example@example.com
Destination
Check if delivery address is same as Contact above
Name of Hotel / Other
Name Used on Reservation
Please provide airline and flight #
If Car Rental then add company name
Delivery Address
City
Postal/Zip
Delivery Location Phone
Nearest intersection (if known)
Children Using the Equipment
Weight (specify kg/lbs)
Age (specify months or yrs)
How did you hear about us?
EQUIPMENT CATEGORIES
Sleep Time
Sleep Time Accessories
Playard/Pack n Play
Car Seats
Premium Seats
Boosters / Accessories
Strollers (Full Size)
Double Strollers
Umbrella Stroller
Travel Systems
Feeding Time
Play Time
Bath Time
Accessories
Packages
Promo Code
Special Instructions
multiple quantities required etc,
Should be Empty: