Request Our Items

If you would like to request items for a hospital or funeral home where you work or if you are a bereavement service organization, you can request our items through this form! Please let us know how many of each Teeny Tears item will last your facility for approximately one year.

Our mission is to provide Teeny Tears items for any and all hospitals and funeral homes in the United States and Canada, large or small.

Item Request Form

Name

First Name

Last Name

Hospital or Organization Name

City and State of Hospital or Organization

Email Address

Alternate Email Address

Detailed Shipping Address

Phone

(###)

###

####

Number of Small Mini Blankets w/ Hats (14-16 Weeks Gestation)

Number of Large Mini Blankets w/ Hats (17-18 Weeks Gestation)

Number of Small Diaper Sets (18-23 Weeks Gestation)

Number of Large Diaper Sets (24-32 Weeks Gestation)

Message

*Our items are always donated to you AT NO CHARGE. If you would like to make an OPTIONAL financial donation to our project, to ensure that we can continue our mission, we have several options available here: Teeny Tears Shop