Comfy Cotton

Place your order using this form. No payment or financial information is required. A Comfy Cotton representative will confirm and process all orders by phone.

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SELECT DIAPER SERVICE OPTION *

4 Week Option
Prepay 13 Weeks & Save Option
Prepay 26 Weeks & Save Option
Not Ordering Diaper Service

SELECT PACKAGE *

No Package, Just the Service
Starter Package
Essential Package
Complete Package

First Name *

Last Name *

Email Address *

Address *

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Phone Number *

Baby Due Date

Have you ordered from Comfy Cotton before? *

Where did you hear about us? *

Where would YOU suggest we promote our service?