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These set of questions are to help us better assist you during this time of need.All information will be kept confidential.

Is the Mother Expecting?

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Once this box is checked, it's stating that you agree to the terms and conditions that if you have any issues with the items you received that we will not be responsible for any defects or recalls of these items. If the box is not checked you will not be able to go further on application.* This field has to be filled out for contact purposes.

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