Request a Sibling Phoenix Bear

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In honor of Bereaved Siblings Day, you can request a Sibling Phoenix Bear with free embroidery today!

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Phoenix Bears REORDERS are a fundraising tool which we charge $100 for normally, but in honor of Bereaved Siblings Day, we are offering Sibling Phoenix Bears REORDERS for only the $25 waitlist fee! You can add embroidery for free, today only! There is a $7 upgrade charge for angel wings if you desire angel wings. This special Sibling Phoenix Bear can be weighted to your baby’s weight or it can be unweighted (if the sibling it is for is very young and would prefer the bear be unweighted). This offer is only valid if you have already ordered your own Phoenix Bear and would like one for your living child(ren). Please have your original Phoenix Bears order number ready as it is required for this form.

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You can only request a SIBLING Phoenix Bear if you already have a Phoenix Bear

Your Name *

Sibling's NameName of the sibling(s) this bear will be sent to

Your Email Address *

Confirm Your Email Address *

Street Address *We are currently only accepting orders from the U.S.

City *

State *

ZIP Code *

Original Phoenix Bears Order Number *the confirmation number from your original Phoenix Bear

Baby's Full Name *Enter First Middle & Last Name (if un-named, you can enter nickname or "N/A")

Baby's Gender *SELECT OPTIONBoyGirlUnknown

Baby's Weight (ex: 5lbs 4oz) *How much your Bear will weigh* *If weight is unknown due to miscarriage, please enter baby's gestational age (we will then use average weight for that gestation for your bear).

Baby's Length (in inches) *

Date of Birth or miscarriage *

Date of Passing (If different from DOB)

Enter a Date of Passing only if you want it included on your Certificate

Theme, Colors, Patterns that you associate with your babyWe cannot guarantee this, but will do our best to accommodate up to 2 requests.

Angel Wings *Yes ($7)No

Attached Blanket *YesNoeach Phoenix Bear comes with a blanket attached to it's hand unless you opt out of this

add-monogrammingSELECT OPTIONNo MonogrammingYes, Monogram BOTH Blanket & Belly Patch (FREE)Monogram ONLY Blanket (FREE)Monogram ONLY Belly Patch (FREE)

Monogramming for Belly Patch (up to 2 names)What you enter here will be exactly what is monogrammed. If you don't desire any monogramming, type "n/a". NOTE: We do our best to fulfill requests but we can not guarantee more than one name will fit. If your baby has 2 first names such as Mary Beth, please note this in additional information section & we will do our best to include both first names. If the names are too long, we may only be able to include the first name. It is uncommon for 2 names not to fit.

Monogramming for Blanket ~ Up to 3 lines but this depends on how many characters are in your requestEnter exactly what you want monogrammed. Example: FULL NAME (1st) WEIGHT & LENGTH (2nd) DOB (3rd). If none, enter N/A. NOTE: We will do our best to fulfil requests. However, there is a limited amount of space so we can not guarantee there will be room for your request.

Bear's Main ColorSELECT OPTIONNo preference (choose for me)White / Cream (off white)Light Tan / TanMedium-Dark BrownGray (light or dark)Colorful (multi-color or solid pink or blue)color preference

Choose a Different Color in case your First Choice is not availableSELECT OPTIONNo preference (choose for me)White / Cream (off white)Light Tan / TanMedium-Dark BrownGray (light or dark)Colorful (multi-color or solid pink or blue)color preference

Additional InformationEnter any additional information you want us to know including but not limited to: If your baby's first name includes more than one name (ex: Mary Beth). Your baby's story (if you want to share it with us). Etc.

Required waitlist feePhoenix Bears Waitlist Fee - $25

Express Pass (If yes, you will also need to buy your own base bear from our Amazon Wishlist) *Yes (Add $40 Donation)NoReduce your time on the waitlist by choosing your own bear from our Amazon Wish List and sending it to us

Base BearI will buy my own base bear from your Amazon Wishlist

Base BearI will buy my own base bear from your Amazon WishlistChoose my base bear for me

Would you like to donate to Phoenix Bears? *SELECT OPTIONNo thank you, I can not afford to donate at this timeYes, I'll Donate $25Yes, I'll Donate $50Yes, I'll Donate $75Yes, I'll Donate $100Yes, I'll Donate $150Yes, I'll Donate $200Phoenix Bears is run solely on donations. Any donated amount over the expense of your custom bear will be donated to the next bereaved parent on the waitlist.

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Applied 15% discount

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Note: Please fill in all the required (*) fields - once you do, the "Pay" button will appear below.

Calculations

DiscountFree Embroidery $7

Total After Discount

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