Order Change Request Form
(Changes accepted up to noon on the day prior to your delivery. Changes for Monday delivery accepted up to noon on Friday)
Name on account:
Email address:
Current delivery day:
Select
Monday
Tuesday
Wednesday
Thursday
Friday
Change to service level:
No Change
20/wk
30/wk
40/wk
50/wk
60/wk
70/wk
80/wk
90/wk
100/wk
110/wk
120/wk
130/wk
140/wk
150/wk
160/wk
Change diaper size to:
No Change
Preemie/newborn (white or blue stitching)
Small (green stitching)
Large (white stitching)
Toddler (blue stitching)
Change is effective:
Select
This week only
Change my standing order
Until date entered below
Vacation hold (no drop-off):
No Vacation Hold
Vacation Hold (NO PICK-UP)
Vacation Hold (PICK-UP ONLY)
Resume service from Vacation Hold on:
(MM/DD/YY)
Notes (need products delivered? Just write them here):
