Mailing Address (Example: 222 HAL Road, HAL City, CT 12345) *
Your answer
Name of baby or babies. If you did not name your baby, you may put in "baby girl" or "baby", "baby boy"; really any way you would like us to refer to your sweet baby(ies). *
Your answer
Special date #1 *
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DD
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YYYY
Special date #2
MM
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DD
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YYYY
By checking this box, you are acknowledging that you have requested us to send cards to you in remembrance of your baby or babies. You also understand that you should email info@hopeafterloss.org if you would like to be removed from this list in the future. *
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