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Rental Request

First Name:*
Last Name:*
NU2YU Baby Shop ID number:
(if applicable)
Contact telephone:*
Email address:*
 
Select the item you would like to rent:
OR If the item you would like to rent
is not listed, please enter the
details here:
 
Age/Weight of child:
(if applicable)
Pick-up date:*
Return date:*
Any other notes/comments: