Diaper Service Change Form

Please fill out the below fields to submit a change to your weekly cloth diaper and/or wipes service. Please provide notice 3 business days in advance of your next delivery.

Customer Name:

Customer Email Address:

New Diaper Size:

(Changes will be made to your next delivery provided 24 hour notice.)

Change Service Level:

(Changes will be made at the end of your billing cycle unless you tell us otherwise in the free form box below.)

Add More Diapers or Night Time Doublers?

Add Cover Service? We provide the covers and we do the washing. Just throw them in the bin with your dirties.

Rent Diaper Covers? We provide the covers, you do the washing.

How many covers?

Add or Cancel Cloth Wipes Service?

Add Disposable Liners?

Add extra Pail or Pail Liner (blue bag)? Each week you will receive an additional pail liner.

Anything else we need to know?

We will send you an email confirming your change. Any pro-rated balance or credit due will be applied to your next recurring charge. Enter the code in the box and submit.