The Stork Family
704-576-5555



For a Limited Time, Reserve your stork online in advance
and receive a $5 discount



To reserve your stork in advance, complete this form and
we will contact you via email to obtain the remaining information
and collect payment --
or call 704-576-5555 any time, 7 days a week
We accept all major credit/debit cards!:

(Note: For your protection, The Stork Family does not

accept detailed address or baby information online)

Name:
Email address:
Contact Phone:
Delivery City:
Rental Package:
Additional Products:
Baby Boy or Girl?:
Requested Delivery Date:
Comments or Questions?