babyMaternity Magazine

Official Entry Form

babyMaternity Magazine Awards Program

Please complete the following information to enter your product(s).

Includes:
Baby & Toddler, Blankets, Bibs, Maternity Aids & Apparel, Pacifiers, Strollers and anything else baby or toddler related.

Once the form is completed a receipt will automatically be generated that will give you details on where to send your products.

Please provide the following Customer Information

Fields marked with * are required.

* First Name
* Last Name
* Company Name
* E-mail Email to contact you if you win.
* Website
Phone

Please provide your Shipping Information

* Street Address
Street Address (cont.)
* City
* State / Province
* Zip / Postal Code
* Country

Select the Number of Products to be Entered * Number of Product Entries: at $75 each.

Total Amount:

If product name is unavailable, please type “TBD”.

Name of Product #1
Name of Product #2
Name of Product #3
Name of Product #4
Name of Product #5
Name of Product #6
Name of Product #7
Name of Product #8
Name of Product #9
Name of Product #10

Please provide the following Billing Information

Credit Card
Cardholder Name
* Card Number
Use numbers only ex. 4444111133335555
* Expiration Date (MMYY) ex. 0410
Billing Address
Billing Zip Code

No refunds will be given once you have entered and your credit card has been charged. If you can not make the deadline to send your samples we can provide you with an extension or you may rollover your entries to the next awards season.

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