Registration (Free)
Title:
Mr.
Mrs.
Ms.
Mother or father's first name:
Mother or father's last name:
Address (No.):
Address (street, apt):
Town/city:
Province/State:
Please select
Quebec
British Colombia
Alberta
Saskatchewan
Manitoba
Ontario
New Brunswick
Nova Scotia
Prince Edward Island
Newfoundland and Labrador
Yukon
Northwest Territories
Nunavut
Postal or ZIP code (X1X1X1):
Telephone (Winners will be contacted ONLY by phone) (000-000-0000):
Email address (you will need to activate your request from this address, watch your inbox):
Email address verification (Please retype your email address):
Baby's date of birth or your due date (day/month/year):
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
2009
2010
2011
How do you intend to feed your child?
Please select
Breastfeeding only
Breastfeeding and formula
Formula only
none of these answers
First name of your child (if you don't know type "unknown"):
Gender (some samples may be different depending on gender):
Female
Male
Twins
If you have other children between the ages of 0 – 8, please indicate the number of children:
0
1
2
3
4
5
6
7
8
Your email is about to leave with your ebook :D
Household annual income:
Please select
0 - 15 000
15 001 - 20 000
20 001 - 35 000
35 001 - 50 000
50 001 - 70 000
70 001 - 85 000
85 001 - 100 000
100 001 - 125 000
125 001 and more
What is the degree of importance you attach to your child or children’s education?
Please select
Very important
Important
Less important
Not important at all
Your name is almost in the race for the next monthly context ... Wow!
Highest level of education obtained?
Please select
High School
College or vocational/professional training school
University Degree
Master’s Degree/ Doctorate/PhD
none of these answers
Would you like to receive special offers from these suppliers, which may include discounts or extra free gifts?
Yes
No
Please check the box to attest you have read the confidentiality policy and contest rules and you accept them in their integrality which authorizes us to transmit your information to the companies named in the suppliers section. Please do not submit more than one registration for the same family or your initial registration will be rejected automatically. Thank you for your understanding.
Congrats, the ebook has been sent, you 're in for the next draw and the free samples requests are on their way ... Good luck!