phone email how far along are you today? wks gender of ......how far along are you today? _____ wks...

If purchasing a heartbeat teddy bear, please choose from the options below. Priced at $25 each. Beckie Mathis, RDMS, RVT, RVS Office: (415) 940-4295 Mobile: (623) 341-5994 [email protected] Name ____________________________________________ Date ________________ Phone ___________________ Email __________________________________ How far along are you today? _______ wks Gender of baby _____ M _____ F Do you have a name picked out for the baby? _____________________________ Please provide me with 3 lullabies/songs of your choice for your slide show video. Listed below are ones that I currently use. You can circle any of those that you would like. * You Are My Sunshine * Here Comes the Sun * Baby Mine (Dumbo) * Rock-a-Bye-Baby * You’ll Be in My Heart (Tarzan) * When You Wish Upon A Star (Pinnochio) 1. _____________________________________________________________ 2. _____________________________________________________________ 3. _____________________________________________________________

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Page 1: Phone Email How far along are you today? wks Gender of ......How far along are you today? _____ wks Gender of baby _____ M _____ F Do you have a name picked out for the baby? _____

If purchasing a heartbeat teddy bear, please choose from the options below. Priced at $25 each.

Beckie Mathis, RDMS, RVT, RVS Office: (415) 940-4295 Mobile: (623) 341-5994 [email protected]

Name ____________________________________________ Date ________________ Phone ___________________ Email __________________________________ How far along are you today? _______ wks Gender of baby _____ M _____ F Do you have a name picked out for the baby? _____________________________ Please provide me with 3 lullabies/songs of your choice for your slide show video. Listed below are ones that I currently use. You can circle any of those that you would like. * You Are My Sunshine * Here Comes the Sun * Baby Mine (Dumbo) * Rock-a-Bye-Baby * You’ll Be in My Heart (Tarzan) * When You Wish Upon A Star (Pinnochio) 1. _____________________________________________________________ 2. _____________________________________________________________ 3. _____________________________________________________________

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