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Stork Rentals
Staten Island, Brooklyn, Queens & New Jersey
Phone: (917)697-0791
Email: storkrental123@gmail.com

Name *

First

Last *

Last

Email *

Phone Number *

Address for Delivery: *

Type of Sign *

Stork

New Baby (Rock Star)

Welcome Home

Birthday Cake

Date for Delivery & Set Up *

Baby's Name (first, middle)

About the Baby (check all that apply)

Boy

Girl

Twins

Weight ( lbs , oz , length )

Date Of Birth

Time of Birth

Questions/Comments

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