Order form preemie doll

Name

E-mail address

Name Baby

Head circumference (cm)

Length (cm)

Weight (gram)

Choose desired version Choose desired version with pajamas and hat with diaper and hat

Bow on the hat Bow on the hat Yes No

Color doll (Click here to view available colors) Color doll (Click here to view available colors) Light green Dark green Pink Baby blue Blue Lilac Ocher yellow Wine red Linen (beige)

Shipment Shipment I order for The Netherlands (€ 119,95 + € 5,75 total: € 125,70) I order for Belgium (€ 119,95 + € 9.75 (– 2kg) total: € 129,70 or € 119,95 + € 12.75 (2 kg-5 kg) total: € 132,70) I order for Germany (€ 119,95 + € 10,00 (– 2kg) total: € 129,95 or € 79,95 + € 19,00 (2kg-5kg) total: € 98,95) I order for France (€ 119,95 + € 10,- (– 2 kg) total: € 129,95 or € 119,95 + € 19,- (2 kg- 5 kg) total: € 138,95) I order for Sweden (€ 119,95 + € 10,00 (– 2kg) total: € 129,95 or € 119,95 + € 19,00 (2 kg-5 kg) total: € 138,95) I order for Ireland (€ 119,95 + € 12,00 (– 2kg) total: € 131,95 or € 119,95 + € 19,00 (2 kg-5 kg) total: € 138,95) I order for England (€ 79,95 + € 12,00 (– 2 kg) total € 91,95 or € 79,95 + € 25,00 (2 kg-5 kg) total: € 104,95) I order for United States (€ 60,- estimation)

Delivery address (street name/house number)

Postal code

Residence

Message

Please note! Please note! "After you click on order you will receive a confirmation from info@podcastprematuur.nl with payment details. This email may end up in your junk mail folder.”