Order Request
After you fill out this order request, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information please contact text (860) 578-4469 or email info@laninc.org
Your name *
E-mail *
Phone number *
Preferred contact method *
Required
Order Type
 *
Required
Preferred Delivery?
 *
Required
Location *
Do you know the gender of baby? *
Due Date
 *
MM
/
DD
/
YYYY
Questions and comments
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This form was created inside of The Local Area Network Incorporated.