Stork Rental Request Form

Stork Rental Request Form

Once we receive the filed form, we will contact you shortly to confirm delivery and location availability. Once the order is confirmed, you will need to text the following details to 407-744-9017. Delivery will be made within 24 hours of receipt of sign details for personalization.
Full Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *
Delivery Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is there a Security Gate? Please Add Code if applicable *
Gate Code
Pink or Blue Stork *
Pink = 1 Blue = 2
Approximate Date *

Day Month Year
Questions?
Baby First & Middle Name (if you have it)
Date of Birth (if you have it)
Baby Length & Weight at birth, pounds and ounces (if you have it)
Message From Sender *
Should be Empty: