Washable Diaper Refund Application

Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Name of baby(Required)

Baby’s Date of Birth(Required)

Proof of residence(Required)

(Example driver's license, recent utility or tax bill)

Accepted file types: jpg, png, pdf, heic, Max. file size: 100 MB.

Proof of purchase(Required)

Receipts for washable diapers

Accepted file types: jpg, png, pdf, heic, Max. file size: 100 MB.

Proof of baby's birth(Required)

Accepted file types: jpg, png, pdf, heic, Max. file size: 100 MB.

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