Anything For Baby Equipment Order Form

Online Reservation Form

Rentals required within 48 hours must be phoned in.

Name:

Home Address:

City, State Zip:

E-mail:

Age(s) Of Child(ren) :

Home Phone:

Cell Phone:

Work Phone:

Local Phone:

How did you hear about us?

I would like to pick up my equipment.

(Credit card information is required below and a picture ID must be presented at pick up.)

Date

I would like my equipment delivered.

Delivery Address:
(if different than home)

City, State Zip:

Nearest Cross Street :

Community Name

Delivery days and times subject to availability.

Delivery Day :

Delivery Date :

Delivery Time :

Pickup Day :

Pickup Date :

Pickup Time :

Method Of Payment :

Credit Card Information :

Name On Credit Card :

Billing Address:

Account Number :

CVV2/CVC2 Code: (MC/Visa - 3 digits at end of acct. # on back of card or American Express - 4 digit # on front of card above account #)

Expiration Date :

Additional Instructions:

Rentals required within 48 hours must be phoned in.
All items are subject to availability.
Confirmation must be received to assure reservation.

PACKAGES	WEEKLY (1-7days)	Each Add'l Day	ENTER QUANTITY
Enter the quantity of the item that you would like to reserve.
Only The Best For Baby Package- includes the following: Crib Car Seat Peg Perego Prima Pappa High Chair Peg Perego Aria 5-point Stroller Item #1 Item #2	$159.95	$32.05
Deluxe Package- includes the following: Crib/Bed Car Seat* High Chair Stroller Item #1 Item #2	$99.95	$20.05
Deluxe Package Plus -- includes Deluxe Package items (please select above) plus diapers, wipes, and Johnson's Take-Along Pack.	$119.95	$20.05
Summer Special - Rent a full size crib and get any 2 other items.	$79.95	$16.05

ONLY THE BEST FOR BABY	WEEKLY (1-7days)	Each Add'l Day	ENTER QUANTITY
Enter the quantity of the item that you would like to reserve.
Britax Marathon Convertible Child Seat*	$52	$11
Britax Roundabout Convertible Child Seat*	$49	$10
Peg Perego Viaggio Infant Car Seat	$49	$10
Peg Perego Prima Pappa High Chair	$49	$10
Peg Perego Aria 5-Point Stroller	$49	$10
Child View Monitor and TV	$25	$5
Fisher Price Cradle Swing	$39	$8
Evenflo Ultra Saucer - Activity Center	$35	$7
Kelty - Frame Child Carrier	$35	$7
Baby Bjorn	$25	$5
Baby Einstein Activity Gym	$25	$5
Fisher Price Jumperoo	$30	$6
FURNITURE AND EQUIPMENT	WEEKLY (1-7days)	Each Add'l Day	ENTER QUANTITY
Enter the quantity of the item that you would like to reserve.
Full Size Crib (fitted sheet and bumper)	$49	$10
Portable Mesh Crib (fitted sheet)	$29	$6
Playpen	$35	$7
Bassinet (fitted sheet)	$29	$6
Trundle Bed (portable w/ fitted sheet)	$21	$5
Toddler Bed (fitted sheet)	$42	$9
Changing Table	$42	$9
Infant Car Seat / Carrier ( 5-20 lbs.)*	$29	$6
Convertible Car Seat (20 - 40 lbs.)*	$29	$6
High Back Booster Car Seat (30 -60 lbs.)*	$29	$6
Backless Booster Car Seat (40 - 100 lbs.)*	$21	$5
High Chair	$29	$6
Travel System (infant car seat, base and stroller)*	$45	$9
Stroller	$29	$6
Umbrella Stroller	$15	$3
Double Stroller	$42	$9
Baby Trend Sit-N-Stand	$42	$9
Snap n Go Stroller	$35	$7
Jogging Stroller	$42	$9
Double Jogging Stroller	$52	$11

ACCESSORY AND SPECIALTY ITEMS	WEEKLY (1-7days)	Each Add'l Day	ENTER QUANTITY
Enter the quantity of the item that you would like to reserve.
Back Pack Carrier	$25	$5
Booster Seat	$15	$3
Stationary Exerciser	$25	$5
Walker	$21	$5
Bouncer	$21	$5
Bumbo Baby Seat	$21	$5
Jumper Seat	$15	$3
Swing	$25	$5
Baby Gym	$15	$3
Portable Safety Gate	$15	$3
Monitor	$15	$3
Humidifier	$21	$5
Tub Ring (tub ring may not stick to all tub surfaces)	$10	$2
Baby Tub	$10	$2
Bed Guard Rail	$15	$3
Step Stool	$5	$1
Superyard	$29	$6
Crib Mattress Pad	$5	$1
Crib Blanket	$5	$1
Potty Seat	$18	$4
Sassy Seat	$18	$4
Small Picnic Table	$21	$5
Small Table w/2 chairs	$25	$5
Safety Pack	$21	$5
Childs Rocker	$18	$4
Toy Basket	$25	$5
Pool Toy Basket	$25	$5
Musical Mobile	$15	$3
Tricycle	$21	$5
Razor Scooter w/helmet**	$25	$5
Bicycle w/ training wheels and helmet**	$29	$6
20 " Bicycle w/ helmet**	$29	$6
Push-N-Ride	$21	$5
Cozy Coupe Car	$25	$5
Plasma Car (3+)	$21	$5
Wagon	$25	$5
Doll Box (3+)	$25	$5
Vehicles Box (3+)	$25	$5
Car Box (3+)	$25	$5
Building Box (3+)	$25	$5
Outdoor Game Box (3+)	$25	$5
Preschool Game Box (3-6)	$25	$5
Family Game Box (6+)	$25	$5
Tape Player w/ tapes	$21	$5
Video Box	$21	$5
Preschool DVD Box	$25	$5
Disney DVD Box	$25	$5
Kids DVD Movie Box	$25	$5
Board Book Library	$21	$5
Story Book Library	$21	$5
Chapter Book Library	$21	$5

BREASTPUMPS	RENTAL RATES	ENTER QUANTITY
Medela® Symphony Breastpump ($50 refundable deposit required)	$64/ 1 month $159/ 3 months $259/ 5 months
Medela® Lactina Select Breastpump ($50 refundable deposit required)	$43/ 1 month $109/ 3 months $159/ 5 months
Symphony® and Lactina® Double Pumping System (one time purchase of kit to use with Symphony or Lactina Select Breastpump, if needed)	$45

BABY SUPPLIES	Price	ENTER QUANTITY
Diapers	$15.00
Huggies Pull Ups	$15.00
Little Swimmer's	$13.00
Wipes	$5.50
Johnson's Take-Along Pack (powder, lotion, baby bath, shampoo)	$5.00

Please indicate below the baby supplies you'd like us to pick up for you that are not listed above or any special instructions we'll need to complete your order. (A 25% service charge will be added for baby supplies not listed above).

*Sorry, but we can not install your car seat. Please go to our links page for car seat inspection stations in Phoenix.

**To find the approximate bike helmet size, measure the child's head just above the eyebrows. Bike helmet shapes and sizes vary among manufacturers, as well as, the size and shape of a child's head.

ANYTHING FOR BABY , INC. , BEING NEITHER THE MANUFACTURER, NOR A SUPPLIER, NOR A DEALER IN EQUIPMENT, MAKES NO WARRANTY, EXPRESS OR IMPLIED, TO ANYONE, AS TO THE FITNESS, MERCHANTABILITY, DESIGN, CONDITION, CAPACITY, PERFORMANCE OR ANY OTHER ASPECT OF THE EQUIPMENT OR ITS MATERIAL OR WORKMANSHIP. Anything for Baby, Inc., further disclaims any liability for loss, damage or injury to Customer or third parties as a result of any defects in the equipment or the Customer’s or third parties’ installation, use or Maintenance of the equipment. Anything for Baby, Inc. shall have no obligation to install, erect, test, adjust or service the equipment. As to Anything for Baby, Inc., the Customer leases the equipment “as is.” The Customer further agrees to indemnify and hold harmless Anything for Baby, Inc., its officers, directors, employees and agents against any and all losses, claims, damages, liabilities or expenses, including reasonable attorneys fees, arising, directly or indirectly, out of the rental of the equipment or that is in any way connected to the equipment. By submitting your order you agree to these terms and conditions.

I have read and accept the rental agreement.

Please print a copy for your records before submitting.

Only The Best For Baby Package-

Deluxe Package-

Deluxe Package Plus -- includes Deluxe Package items (please select above) plus diapers, wipes, and Johnson's Take-Along Pack.

Summer Special - Rent a full size crib and get any 2 other items.