Oh Baby Magazine Club Med Giveaway!
Simply complete the form below and hit the "Submit" button when finished.
Contest deadline is June 10th, 2008 at 11:59pm.
Name:
Address:
City:
Select your Province
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
PEI
Nova Scotia
Newfoundland
Postal Code:
Phone:
Email:
Age Group:
< 18
19-24
25-30
31-35
36-40
40+
Are you:
Single
Married
Separated
Widowed
Household Income:
Up to 30k
31-49k
50-74k
75k+
Where did you get your copy of Oh Baby! Magazine?
Sears Store:
Location:
Select Province
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
PEI
Nova Scotia
Newfoundland
City:
Rexall Pharma Plus:
Location:
Select Province
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
PEI
Nova Scotia
Newfoundland
City:
Other:
How many cars do you have in your household?
-- Select --
0
1
2
3
4 or more
What make and model?
How many vacations do you take a year?
Are you planning on taking a holiday in the next six months?
Yes
No
If yes, when and where?
Have you traveled with your baby/children before?
Yes
No
Would you like to receive details on any of the following?
(Check all that apply)
Club Med resorts
Resorts with children's facilities
Resorts specializing in golf, tennis or scuba diving
Resorts with spas
Are you currently pregnant?
Yes
No
| When are you due?
How many children do you have?
-- Select --
0
1
2
3
4 or more
How old are your children?
(Check all that apply)
0-6 mos.
7-12 mos.
13-18mos.
19-36 mos.
over 3 years.
Are you planning on having another baby?
Yes
No
Undecided
Please ensure that the form has been filled in completely before submitting.