Sign up for Vivian Baby

The * sign denotes required fields.

In order to join the Vivianbaby Club, you are kindly requested to fill in this online form.

Parents' Details

Parents' Name and Surname *

Address *

Town *

Post Code

Telephone *

Mobile

Email Address *

 

Child's Details

Child's Name *

Date of Birth (dd/mm/yyyy) *

Gender


Membership is open only to mothers of children under 3 years of age and is free of charge

Other Children

Child's Name

Date of Birth (dd/mm/yyyy)

Gender

 Information

Where did you first hear about the Vivianbaby Club?









If other please specify

Your Comments

We would appreciate your comments to further enhance our product range and services to you.

Comment

Your Friend's Details

Do you wish to refer a friend to join this club?
If Yes, please fill-in her details and we will contact her as soon as possible.

Parents' Name and Surname

Child's Name

Telephone

Terms & Conditions

  1. Membership for Vivianbaby Club is free of charge.
  2. Membership is ONLY open to parents of children under the age of 3.
  3. The administrators of the club reserve the right to discontinue this service without any obligations.
  4. Being accepted in the Club entitles you to regular updates and other promotional material regarding weaning and general babycare subjects.
  5. The data provided in this membership form will be processed by Vivian Corporation Ltd. only for the general administration and for correspondence with members as required. Under no circumstances will this data be passed on to third parties.