REGISTRANT INFORMATION
(PRIMARY CONTACT)
First Name
Last Name
E-Mail Address (this will be your ID)
BABY'S INFORMATION
First Name
Last Name
Birthday
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Comments
CO- REGISTRANT INFORMATION
First Name
Last Name
E-Mail Address
SHIPPING INFO
First Name
Last Name
Street 1
Street 2
City
State
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Foundland
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
U.S Military (AE)
U.S. Military (AP)
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip
Country
USA
AUSTRIA
BELGIUM
CANADA
CZECHOSLOVAKIA
DENMARK
ESTONIA
FINLAND
FRANCE
GERMANY
GREECE
HUNGARY
IRELAND
ITALY
LATVIA
LITHUANIA
LUXEMBOURG
MEXICO
NETHERLANDS
POLAND
PORTUGAL
SLOVAK REPUBLIC
SLOVENIA
SPAIN
SWEDEN
UNITED KINGDOM
Daytime Phone
Evening Phone
Password
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