SurveyMonkey Powered Online Survey

Meet Rosie Pope, maternity expert and author of Mommy IQ: The Complete Guide to Pregnancy!

Saturday, September 7

1-3 p.m.

Treat yourself to complimentary pampering from Basq,
a Boppy® Travel Pillow and a Destination Maternity gift card
with a mystery value worth up to $250!*

Refreshments and sweet treats will be served.

Destination Maternity
35 Plaza
65 East Rte. 4 West
Paramus, NJ 07652

*One per mom-to-be. While supplies last. Gift card values are $10, $25, $50, $100 or $250, redeemable at any Destination Maternity®, A Pea in the Pod® or Motherhood® Maternity location in the U.S. or online at destinationmaternity.com. No purchase necessary.

Question Title

* Please provide your information below:

Name:

Address:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

Question Title

* Number of RSVP attendees including yourself:

	1	2	3	4	5	6	7	8	9	10
select a number	select a number 1	select a number 2	select a number 3	select a number 4	select a number 5	select a number 6	select a number 7	select a number 8	select a number 9	select a number 10

Question Title

* Are you in your (select one response):

first trimester

second trimester

third trimester

Other (please specify)