Starting Service

Thank you for choosing Bottoms Up Diaper Service.

Starting service with us is quick and easy. You can either call us at any of the numbers shown, or simply fill out the online form and we'll do the rest. We will contact you with your exact starting date, and other useful information. Again, thank you for choosing us! We recommend starting with 80 cotton diapers a week for newborns. We require a minimum of 4 weeks of service, payable in advance.

We offer you a prebirth installation of diapers 1-2 weeks before your due date so that you have diapers on hand when your baby does arrive (40 diapers for $10.00). This is a pre-birth, one-time special price. We do not begin regular deliveries until you let us know that your baby has arrived and that you are ready for service.

Service Area
Illinois							Wisconsin
Addison Algonquin Antioch Arlington Heights Aurora Bannockburn Barrington Barrington Hills Bartlett Batavia Beach Park Bedford Park Bellwood Bensenville Berkeley Berwyn Bloomingdale Bolingbrook Bridgeview Broadview Brookfield Buffalo Grove Burbank Burnham Burr Ridge Calumet Park Carol Stream Carpentersville Cary Channel Lake Chicago Chicago Ridge Cicero Clarendon Hills	Countryside Crestwood Crystal Lake Darien Deer Park Deerfield Des Plaines Dixmoor Dolton Downers Grove East Dundee East Hazel Crest Elgin Elk Grove Village Elmhurst Elmwood Park Evanston Evergreen Park Flossmoor Ford Heights Forest Lake Forest Park Forest View Fox Lake Fox Lake Hills Fox River Grove Frankfort Franklin Park Gages Lake Geneva Glen Ellyn	Glencoe Glendale Heights Glenview Golf Grandwood Park Grayslake Green Oaks Gurnee Hainesville Hanover Park Harwood Heights Hawthorn Woods Hickory Hills Highland Park Highwood Hillside Hinsdale Hodgkins Hoffman Estates Holiday Hills Hometown Indian Creek Indian Head Park Ingleside Inverness Island Lake Itasca Ivanhoe Justice	Kenilworth Kildeer Knollwood La Grange La Grange Park Lake Barrington Lake Bluff Lake Catherine Lake Forest Lake in the Hills Lake Villa Lake Zurich Lakemoor Lakewood Lansing Lemont Libertyville Lincolnshire Lincolnwood Lindenhurst Lisle Lombard Long Grove Long Lake Lynwood Lyons Matteson Maywood McCook McHenry Melrose Park	Merrionette Park Mettawa Midlothian Morton Grove Mount Prospect Mundelein Naperville Niles Norridge North Aurora North Barrington North Chicago North Riverside Northbrook Northfield Northlake Oak Brook Oak Lawn Oak Park Oakbrook Terrace Oakwood Hills Old Mill Creek Palatine Park City Park Ridge Phoenix Port Barrington Prairie Grove Prairie View	Prospect Heights Richmond River Forest River Grove Riverside Riverwoods Robbins Rolling Meadows Rondout Roselle Rosemont Round Lake Round Lake Beach Round Lake Heights Round Lake Park Russell St. Charles Sauk Village Schaumburg Schiller Park Skokie Sleepy Hollow South Barrington South Chicago Heights South Holland Spring Grove Steger Stickney	Stone Park Streamwood Summit Third Lake Tower Lakes Trout Valley Venetian Village Vernon Hills Villa Park Volo Wadsworth Warrenville Wauconda Waukegan Wayne West Chicago West Dundee Westchester Western Springs Westmont Wheaton Wheeling Wildwood Willow Springs Willowbrook Wilmette Winfield Winnetka Winthrop Harbor Wood Dale Woodridge Zion	Bayside Brighton Bristol Brookfield Brown Deer Burlington Butler Caledonia Cederburg Cudahy Dover Elm Grove Elmwood Park Fox Point Franklin Glendale Grafton Greendale Greenfield Hales Corners Kenosha Lakefield Mequon Milwaukee Mount Pleasant Muskego New Berlin North Bay North Prairie Norway Oak Creek Paddock Lake Paris Pewaukee	Pleasant Prairie Racine Raymond River Hills Rochester St. Francis Salem Shorewood Silver Lake Somers South Milwaukee Sturtevant Tess Corners Thiensville Union Grove Waterford Waukesha Wauwatosa West Allis West Milwaukee Whitefish Bay Wind Point Woodworth Yorkville

Diaper Service Plans
Contract Quantity	Weekly Charge	Contract Quantity	Weekly Charge
20 per week	$14.95	140 per week	$26.45
30 per week	$15.45	150 per week	$28.45
40 per week	$15.95	160 per week	$30.45
50 per week	$18.45	170 per week	$32.45
60 per week	$18.95	180 per week	$34.45
70 per week	$19.45	190 per week	$36.45
80 per week	$19.95	200 per week	$38.45
90 per week	$20.45	210 per week	$40.45
100 per week	$21.45	220 per week	$42.45
110 per week	$22.45	230 per week	$44.45
120 per week	$23.45	240 per week	$46.45
130 per week	$24.45	250 per week	$48.45
If 11 weeks are paid in advance at anytime during your service, the 12th week is free. Note: A newborn averages 80 diapers per week Twins average 140-150 diapers per week Starter Package $10.00 for 40 diapers Prices subject to change.

Your Information
Name on Card
Billing Address
City, State Zip
Name of Person Receiving Service
Due Date
Service Address
City, State Zip
E-mail
Phone Number
Credit Card Type
Card Number / Expiration Date (MM/YYYY)
Credit Card Security Code (3 digits)
Your Order
Starter Pack:
Size:
Quantity:
Special Instructions and Other Comments:

Please note: By completing and submitting this form, you are authorizing Bottoms Up Diaper Service to charge your credit card the amount you specified above, and to begin delivery service. Submission of this form does not guarantee that Bottoms Up Diaper Service will be able to deliver to your location. In the event you are outside our service area, we will contact you and will not charge your credit card. If you have any questions, feel free to contact us by phone or email as shown on the left-hand side of your screen.

Bottoms Up Diaper Service
201 N. Greenbay Road � Waukegan, Illinois 60085-4410 � 847-336-0040 � service@bottomsupdiapers.com