Custom Package Request Form
	Baby Products
	Car Seats
	Peg Perego- Primuviagio Car Seat	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- SnugRider Infant Car Seat	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Comfort Sport Convertible Car Seat	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Turbo Booster Car Seat	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Strollers
	Graco- Double Stroller DuoGlider LXI Stroller	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Standard Size Quattro Tour Stroller	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Lightweight LiteRider Stroller	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Kolcraft- Jeep Jogger Stroller	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Peg Perego- Pliko P3 Stroller	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Highchairs
	Graco- Harmony Highchair	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Peg Perego- Prima Pappa Highchair	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Swings & Bouncers
	Graco- Travel Lite Infant Swing	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Travel Lite Folding Bouncer	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Playards
	Graco- Classic Care Center Pack 'n Play	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Cribs
	Evenflo- Jennylind Crib- Full Crib	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Travel Lite Crib	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Simplicity- Porta Crib	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Cosco- Portable Crib	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Exersaucers & Jumpers
	Graco- Stationary Activity Center	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Mobile Activity Center	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Graco- Jumper	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Kid's Entertainment
	Bucket of Toys	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Bucket of Books	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Baby Einstein DVD's (Box of 5)	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Kid's Safety
	Graco- Baby Monitor (digital)	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Door Gate	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Bath-Time
	Infant Tub	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Bucket of Bath Toys	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Bag of Bath Products	Qty.	Select Rental Period One time cost: $35
	Outdoor Equipment
	Bikes
	Adult Beach Cruiser	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Adult Tandem Beach Cruiser	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Children's Beach Crusier	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Beach Fun
	Beach Chair	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Bucket of Beach Toys	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Boogie Board	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Beach Umbrella	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Coolers
	Small 40 qt. Cooler	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Medium 60 qt. Cooler	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week
	Large 80 qt. Cooler	Qty.	Select Rental Period 1-Day 2-Day 3-Day 4-Day 1-Week

Name: [required]

Email: [required]

Phone: [required]

How would you like to be contacted: Phone Email

Comments: