About
Join
Get Involved
Volunteer
Newsletter
Events
Banquet
Baby Bottle Boomerang
>
Bottle Reservation Form
Bingo 4 Babies
PickleBall
Stories
The Solution
Blog
Donate
Baby Boutique
Tax Credits
Contact
About
Join
Get Involved
Volunteer
Newsletter
Events
Banquet
Baby Bottle Boomerang
>
Bottle Reservation Form
Bingo 4 Babies
PickleBall
Stories
The Solution
Blog
Donate
Baby Boutique
Tax Credits
Contact
Baby Bottle Reservation
Simply fill out the form below to reserve baby bottles for your church! If you have any questions, please don't hesitate to ask. Our office is open Monday-Thursday 10am-5pm.
573.874.3561
Bottle Reservation Form
*
Indicates required field
Primary Contact Name
*
Church Name
*
Contact's Phone Number
*
Contact's Email
*
Church Address
*
Line 1
Line 2
City
State
Zip Code
Country
Church Phone Number
*
BABY BOTTLES
Number of Bottles Requested
*
Boomerang Start Date Requested
*
mm/dd/yyyy
Boomerang End Date
*
mm/dd/yyyy
Our church would also like to request:
*
My Life Clinic General Information
A representative to speak during a service
Campaign information for your church bulletin/projection screens
Check all that apply.
BOTTLE PICK UP AND RETURN
When the bottles are picked up, we request that you check the total and sign that you received the correct number. When you return the bottles, please plan on allowing a few minutes for us to get a count of the total. If there are any outstanding bottles, we will give you a slip with the number of bottles missing, then we will check back with you in a few weeks to see if you were able to locate them. We appreciate your effort to collect all the bottles borrowed to help curb our expenses, as they cost Life Network approximately $1.50 each to replace.
Thanks again for your participation!
Submit