Nature's Goodness® - Special Offer

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Nature’s Goodness^® baby food is pleased to provide you with informational e-mails and special offers periodically throughout the months that you and your baby will be enjoying Nature’s Goodness^® products. To sign up to receive these emails and special offers, please take a moment to complete and submit this brief form. Be sure to provide us your baby’s age so we can tailor information and offers to your child’s development.

And thank you, from all of us at Nature’s Goodness^®, for your interest in our products.

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About Yourself

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:*

Email:

Relationship to Baby:*

Your Date of Birth:
(you must be over 13)

About Your Baby

Is this your first child:

Gender:*

Baby's Date of Birth/Due Date:

Survey

Thinking about your next ten purchases of baby food, about how many of these purchases would be of Nature’s Goodness brand baby food?

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About Yourself
	First Name:
	Last Name:
	Address:
	City:
	State:
	Zip Code:
	Phone:*
	Email:
	Relationship to Baby:*
	Your Date of Birth: (you must be over 13)

About Your Baby
	Is this your first child:
	Gender:*
	Baby's Date of Birth/Due Date:

Survey
	Thinking about your next ten purchases of baby food, about how many of these purchases would be of Nature’s Goodness brand baby food?