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Bear Bottoms Diaper Service Application

Thank you for choosing Bear Bottoms Diaper Service. By filling out the form below you will be well on your way to starting our service.  We will then call or email you to set-up your pre-birth delivery or first delivery date. It's that easy!
Please read carefully the Terms of Service:   before completing this application.

Pre-Authorized Payments

(Pre-authorized payment from your bank account is the most secure method of payment, VOID cheque required. Your account will be charged monthly in advance.)


Please indicate here if you would like our registry cards emailed in .pdf form to include in invitations.

I have read and accept the Terms of Service:

By clicking below you have applied for the service and agreed to the terms within. We will contact you shortly. Thank you for choosing Bear Bottoms Diaper Service.

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