The exclusive stork provider for

We also offer personalized
Hershey Bars

Place an Order

Complete the order form below. Please double check your order for accuracy. A service fee will apply for any needed corrections.   After completing the order form, click the “Place Your Order” button. Once received, we will call you to confirm your order and get any additional information that we may need. Thank you!

General Information

Stork Rentals

Candy Bar Wrappers Only
(quantity)

Candy Bars and Wrappers
(quantity)

Baby Bundle Only
(included with all Stork Rentals)

  

Baby Information

Gender

Baby’s First Name:

Baby’s Middle Name:

Baby’s Last Name

Weight:

Pounds  Ounces

Date of Birth
mm/dd/yy

/ /

Mother’s Name

Father’s Name

Delivery Information

Address:

City

 

Zip Code

Requested Delivery Date
(mm/dd)

/

Contact Information

Name:

Primary Phone Number:

Alternate Phone Number:

E-Mail Address:

What do you want the gift card to say:

Special Instructions

 

 

*As a reminder, the baby’s first name, middle name, weight and birth date are hand written on the baby bundle, along with the Mom and Dad’s first names. If the information is submitted with errors, a service fee of $25.00 will apply for any requested updates.
 

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*All items are subject to change without notice