Chicago Storks & Yard Cards

a division of Agape Services LLC, a Christian-based company

ORDER FORM

Please complete the following information, or call 708.534.7492.  Your information will be forwarded to one of our Stork Representatives, so expect a call soon!

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Email:
Requested Service:
Requested Date of Rental:
Address of Rental:
City of Rental:
State of Rental:
Zip Code of Rental:
Baby Name (First & Middle):
Baby Height:
Baby Weight:
Baby Date of Birth:
Comments:

If you have any questions, please don't hesitate to contact us at 708.534.7492
or e-mail us at info@chicagostorks.com.

Thank you, and have an awesome day!

Copyright . Agape Services LLC. All rights reserved.