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customer details
 contact details       (not all fields are compulsory, only those in bold)
  your name
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  your email
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  Your phone number ( country + area code)
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 is this order for a gift for....
yourself     someone in your family     a friend     a workmate    
  receivers name (if not your own)
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 delivery details
  name to go on package
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  postal address for delivery
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  suburb / city / town
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  state / province
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  post code / zip code
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  country
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  preferred postal method
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 baby news
  baby's name (if known yet)
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  baby's birth / due date?
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  first time or experienced parents?
trans 1st baby 2nd 3rd or more
if this order is a gift, we are more than happy to include a beautiful greeting card with a personal message from you. just let us know what you would like to say… trans
  Is this gift is going direct to the new family?
trans YES, so please don't include invoice
trans NO, it is coming to me first so you can include the invoice in the package
 more... if you please
 how did you hear about us?
midwife / hospital childbirth educator
baby health centre passer by
friend another website / link / parenting forum
byron child magazine natural parenting magazine
informed choice magazine other publication
chiropractor / osteopath search engine
yoga centre google adwords
other  
      do you remember the / their name?     
if there are any other comments, feedback or suggestions you would like to make, please just let us know?
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