Boppy Pregnancy Pillow Parent Panel Form

Thanks for your interest in taking part in our Boppy pregnancy pillow parent panel! If you meet the criteria set out by the company, we'll be sending you their new pregnancy pillow to test. Please note that Parent Panel cannot ship out of the continental U.S. due to cost of shipping and for this particular panel, no PO Boxes or AP/FPO.

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address:

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* 4. Child's due date

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* 5. Which pregnancy pillow do you prefer? Rank your choice with 1 being the most preferred and 4 being the least:

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* 6. Street Address:

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* 7. City:

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* 8. State:

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* 9. Zip Code:

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* 10. By submitting this form, I give weeSpring permission to share my information with the company. I'm willing to leave online reviews to share my feedback with other parents. I also agree that I will disclose that I received the product complimentary through the weeSpring Parent Panel.

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