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Order Form

 Please complete the quanity, length of days you will need the items, the delivery location and the delivery / pickup dates.

  

 

 

QuantityImageProductEach PriceTotal

ContouredChangingPad.jpg Changing Pad $4.00 $4.00
 Please indicate the rental length using the drop down menu. Each 24 hour period or overnight is considered a 1 day rental.
 
 
 
Please choose a delivery city
Vero Beach, $25.00
Sebastian, Ft. Pierce $30.00
Port St. Lucie, Grant, Palm Bay $35.00
Melbourne, Satellite Beach, Stuart, Palm City $45.00
Cocoa Beach, Merritt Island, Cape Canaveral $60.00
Provide your delivery and pick-up dates in this text box.
Subtotal $4.00
Pick-up and Delivery $25.00
Taxable Amount $25.00
Sales Tax $1.75
Total $30.75
 
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Did you provide your Delivery and Pickup dates?