Register for World Breasteeding Week
--Mama's Night Out & Pregnancy Pampering Night --

After completing the form, you will be directed to a shopping cart page where you can make a payment online using Visa, MasterCard or PayPal. Or you have the option of calling or bringing your payment into the store. These events are part of our fundraising efforts for World Breastfeeding Week 2008. To learn more about how we are planning to help local mothers, click here.
First Name:
Last Name
Address
City
Zip
Phone
Email
Date of Birth
# of Children
How do you plan to pay for your class?
Class Selection
 
Your Comments:

Pregnant Clients Only
Due Date
Dr/Midwife
Hospital


After submitting registration, you will have the option to pay for your class online 24 hours a day.

 

 

 

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8210 A South Harvard Ave, Tulsa, OK 74137
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