Distributor Application
Shipping Address
* Province
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Email Address Not Invalid!
Passwords Do Not Match!
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* Category:
Doula / Midwife
Dr / OBGYN
Hospital
Medical Centre
Pregnancy Centre
Prenatal Instructor
Ultrasound
Trade Show
Other
Identify the majority of patients you cater to:
Both
Prenatal
Postnatal
* IF AVAILABLE, do you want any of the following included in your gift bags?
Bottles/Pacifiers Coupons/Samples
Yes
No
Vitamins
Yes
No
Formula Coupons/Samples
Yes
No
* Indicate the language in which you want to receive your sample bag?
English
French
* Please indicate how often you would like to receive sample bags: (Minimum 50 Per Box)
Monthly (January - December)
Bi-Monthly (February, April, June, August, October December)
Quarterly (February, May, August, November)
Annual
Semi-Annual
Based on the number of patient visits, please indicate how many bags of samples you would like to receive:
50
150
100
200
Other
200
250
300
350
400
450
500
550
600
Enter your QTY.
Special Shipping Instructions
Terms and Conditions
By registering to be a Baby Brands Gift Club distributor, you will be given free samples, brochures, Coupons, etc in a sealed bag. One bag per patient, to be distributed as received.
REGISTER NOW