My Life Clinic | Columbia, MO
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    • MO State Tax Credit
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Fill out the form below to reserve baby bottles for your church or group! Please reach out with any questions.

    Bottle Reservation Form


    BABY BOTTLES
    mm/dd/yyyy
    mm/dd/yyyy
    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. Replacement bottles cost My Life Clinic around $1.50 each, and we appreciate your effort to collect all the bottles borrowed to help us curb expenses.
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802 N Providence Rd Ste 2
Columbia, MO 65203
​573.874.3561

[email protected]
Terms & Conditions

  • About
  • Donate
    • Make a Donation
    • MO State Tax Credit