Hospital Phoenix Bears Order Form

This form is for hospitals and healthcare facilities that have already discussed pricing and are ready to place an order for Phoenix Bears hospital kits.
Completing this form allows us to generate a purchase order or invoice for your facility.

Hospital Phoenix Bears Order Form

Bear Selection

Please enter quantities for each bear type below. Enter “0” if none are needed.

Large Phoenix Bears (3lb 10oz - 6lbs) — Quantities by Color

Please enter the quantity needed for each color. Enter “0” for colors you do not need.